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

Applegate Valley Dental Inc

Organization General Practice Dentistry · NPI 1750767661

Applegate Valley Dental Inc is a General Practice Dentistry 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 Ste 20
Jacksonville, OR 97530-9739
Phone: (541) 899-7824
Fax: (541) 899-7949
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D6349 (OR)

Record details

NPI number1750767661
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Boldt — Part Owner · (541) 772-2756
NPI enumeratedAugust 3, 2015
Last updated in NPPESAugust 3, 2015
Mailing address181 Upper Applegate Rd, Suite 20, Jacksonville, OR 97530-9739

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