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

Corvallis Family Dentistry, LLC

Organization General Practice Dentistry · NPI 1730459892

Corvallis Family Dentistry, LLC is a General Practice Dentistry in Corvallis, Oregon. Licensed in Oregon. Registered with an NPI since 2012.

Licensed in
OR
In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1829 NW Kings Blvd
Corvallis, OR 97330-1907
Phone: (541) 752-5048
Fax: (541) 752-9213
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X (OR)

Record details

NPI number1730459892
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brian Tidwell — Dentist · (541) 929-5227
NPI enumeratedJanuary 6, 2012
Last updated in NPPESJanuary 6, 2012
Mailing address1829 Nw Kings Blvd, Corvallis, OR 97330-1907

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