Jeff Van Kirk, DMD, PC
Organization Active NPI General Practice Dentistry · Stayton, OR
NPI 1124440417 · NPPES record last updated Jan 6, 2014
Key facts
- NPI
- 1124440417
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- D9848 (OR)
- Legal business name
- JEFF VAN KIRK, DMD, PC
- Practice address
- 450 E Washington St
Stayton, OR 97383-1837 - Phone
- (503) 769-6351
- Fax
- (503) 759-7029
- NPI assigned
- Jan 6, 2014
- Organization subpart
- No
Authorized official
- Name
- Dr. Jeff Scott Van Kirk, DMD
- Title
- President, General Dentist
- Phone
- (216) 394-3140
Practitioners 2
-
Jeffrey Scott Van Kirk, D.M.D.
-
Roger Vansanten, D.D.S.
National Provider Directory
Locations
450 E Washington St
Stayton, OR 97383
Phone (503) 769-6351
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | D9848 | OR | Yes |
Addresses
Primary practice location
450 E Washington St
Stayton, OR 97383-1837
Mailing address
1390 Alpine Lakes St SE
Salem, OR 97317-6976
Phone (216) 394-3140
Other providers in Stayton, OR
- Douglas Duane Huntley
- Danielle M Hurl
- Brianna Isaac
- Chad Michael Jamison
- Jeanne L Fitzpatrick MD PC
- Jeffery J Moll DC PC
- Morgan E Kilgore
- Claire E King
- Lisa King
- Lakeside Cottages
All providers in Stayton, OR · General Practice Dentistry in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.