Michael C. Duval, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D05541 Issued in OR

Practice address

2640 Frontage Rd
Reedsport, OR 97467-1813

Phone

(541) 271-4858

Fax

(541) 271-4859

NPI assigned

Jul 13, 2005

Reactivated

Apr 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1225036189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 FRONTAGE RD",
            "city": "REEDSPORT",
            "state": "OR",
            "postal_code": "974671813",
            "telephone_number": "541-271-4858",
            "fax_number": "541-271-4859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 FRONTAGE RD",
            "city": "REEDSPORT",
            "state": "OR",
            "postal_code": "974671813",
            "telephone_number": "541-271-4858",
            "fax_number": "541-271-4859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUVAL",
        "first_name": "MICHAEL",
        "middle_name": "C.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2026-07-13",
        "deactivation_date": "2006-03-25",
        "reactivation_date": "2006-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D05541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078758",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Dekker Flint, CRNA
• Kanani Kelly Dilcher, MD
• Christine Dotson, FNP-C
• Douglas County School District (Reedsport) 105
• Douglas Medical Equipment Supply
• Ronald M Epley, DC
• Janean Michael Francis, LCSW
• June A. Fulton Margiewicz, CRNA
• Gerhard Goorhuis DDS
• Gerhard Goorhuis, DDS

• General Practice Dentistry in Reedsport, OR
• Providers in Reedsport, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.