Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Applegate Valley Dental Inc

Organization Dentist · NPI 1316329394

Applegate Valley Dental Inc is a Dentist in Jacksonville, Oregon. Licensed in Oregon. Registered with an NPI since 2015.

Licensed in
OR
In the registry since
2015
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

181 Uppr Applegate RD
Jacksonville, OR 97530-9739
Phone: (541) 899-7824
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D6349 (OR)

Record details

NPI number1316329394
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Boldt — Secretary · (541) 899-7824
NPI enumeratedJune 25, 2015
Last updated in NPPESJune 25, 2015
Mailing address181 Upper Applegate Rd, Jacksonville, OR 97530-9739

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