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

Family Dentistry of Gold Beach, Inc

Organization Dentist · NPI 1649293036

Family Dentistry of Gold Beach, Inc is a Dentist in Gold Beach, Oregon. Licensed in Oregon. Registered with an NPI since 2006.

Licensed in
OR
In the registry since
2006
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

29814 Ellensburg Ave
Gold Beach, OR 97444-1600
Phone: (541) 247-8000
Fax: (541) 247-8888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D6942 (OR)

Record details

NPI number1649293036
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Herman Liem — Ceo · (541) 247-8000
NPI enumeratedJuly 26, 2006
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 1600, 29814 Ellensburg, Gold Beach, OR 97444-1600

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