Pringle Creek Family Dental, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PRINGLE CREEK FAMILY DENTAL, LLC

Doing business as

Pringle Creek Family Dental, LLC

Practice address

640 12TH St SE
Salem, OR 97301-4001

Phone

(503) 364-7944

NPI assigned

Jun 6, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Marcia L Duffy

Title

Office Manager

Phone

(503) 364-7944

Specialties & licenses 1

Addresses

Other names 1

• Pringle Creek Family Dental, LLC Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Alan Cruise, D.M.D.

  • General Practice Dentistry
  • Salem, OR
  • NPI 1295721645
  NPD (past)
• John Travis Duffy, DMD

  • Dentist
  • Salem, OR
  • NPI 1821420324
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1033648886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 12TH ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973014001",
            "telephone_number": "503-364-7944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 12TH ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973014001",
            "telephone_number": "503-364-7944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINGLE CREEK FAMILY DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DUFFY",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "503-364-7944",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pringle Creek Family Dental, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marcie Lynn Pries, CHW
• Margery Ruth Pries, L.M.T.
• Primal Path Therapy LLC
• Primary Care West, P.C.
• Princeton Village Assisted Living Residence LLC (Princeton Village Assisted Living Residence)
• Renee Carolyn Prins, M.D.
• Logan Prior, APRN
• J. Scott Pritchard, DO
• Joshua N Pritikin, PH.D.
• Denis Privalov, MD

• Dental Clinic/Center in Salem, OR
• Providers in Salem, OR by specialty
• Dental Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.