Jeff Van Kirk, DMD, PC
General Practice Dentistry · Stayton, OR
Practice location
450 E Washington StStayton, OR 97383-1837
- Phone
- (503) 769-6351
- Fax
- (503) 759-7029
NPI record
- NPI
- 1124440417
- Entity type
- Organization (Type 2)
- Enumeration date
- January 6, 2014
- Last updated
- January 6, 2014
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
D9848 | OR |
Mailing address
1390 Alpine Lakes St SESalem, OR 97317-6976
- Phone
- (216) 394-3140
Authorized official
- Name
- Dr. Jeff Scott Van Kirk, DMD
- Title
- President, General Dentist
- Phone
- (216) 394-3140
About Jeff Van Kirk, DMD, PC
Jeff Van Kirk, DMD, PC is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 450 E Washington St, Stayton, OR 97383-1837. The NPI number 1124440417 was assigned on January 6, 2014 and the record was last updated on January 6, 2014.
Jeff Van Kirk, DMD, PC lists a license in the registry: #D9848 (OR) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.
The authorized official for this organization is Dr. Jeff Scott Van Kirk, DMD, President, General Dentist.
Frequently asked questions
What is the NPI number of Jeff Van Kirk, DMD, PC?
The NPI number is 1124440417.
What is the phone number of Jeff Van Kirk, DMD, PC?
The phone number listed for the practice location is (503) 769-6351.
Where is Jeff Van Kirk, DMD, PC located?
450 E Washington St, Stayton, OR 97383-1837.
What is the taxonomy code for Jeff Van Kirk, DMD, PC?
The primary taxonomy code is 1223G0001X – General Practice Dentistry.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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