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

South Umpqua Family Dental PC

Organization Dentist · NPI 1659675338

South Umpqua Family Dental PC is a Dentist in Riddle, Oregon. Licensed in Oregon. Registered with an NPI since 2011.

Licensed in
OR
In the registry since
2011
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

150 Main St
Riddle, OR 97469-0107
Phone: (541) 874-3126
Fax: (541) 874-3259
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D9281 (OR)

Record details

NPI number1659675338
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eric Cornelius — President/Secretary · (541) 874-3126
NPI enumeratedJanuary 10, 2011
Last updated in NPPESJanuary 10, 2011
Mailing addressPo Box 107, Riddle, OR 97469-0107