Active NPI
Mill Creek Dental LLC
- General Practice Dentistry
- Salem, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- MILL CREEK DENTAL LLC
- Practice address
- 848 Commercial St NE
Salem, OR 97301-1016 - Phone
- (503) 362-9151
- NPI assigned
- May 26, 2021
- Last updated
- May 26, 2021
- Organization subpart
- Yes
- Parent organization
- MID-VALLEY DENTAL ASSOCIATES, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Geoffrey Alden Berg, DMD
- Title
- Manager/Member
- Phone
- (541) 928-2301
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
848 Commercial St NE
Salem, OR 97301-1016
Mailing address
2825 Willetta St SW
Albany, OR 97321-3846
Phone (541) 928-2301
National Provider Directory
National Provider Directory- Part of
- Mid-Valley Dental Associates LLC
Locations
2825 Willetta St SW
Albany, OR 97321
Phone (541) 928-2301
848 Commercial St NE
Salem, OR 97301
Phone (503) 362-9151
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Albany, OR
- NPI 1841286655
-
- General Practice Dentistry
- Salem, OR
- NPI 1497217285
-
- General Practice Dentistry
- Salem, OR
- NPI 1780677781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621987200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1621987200000",
"number": "1457926834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2825 WILLETTA ST SW",
"city": "ALBANY",
"state": "OR",
"postal_code": "973213846",
"telephone_number": "541-928-2301",
"fax_number": "541-928-8493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "848 COMMERCIAL ST NE",
"city": "SALEM",
"state": "OR",
"postal_code": "973011016",
"telephone_number": "503-362-9151"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MILL CREEK DENTAL LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MID-VALLEY DENTAL ASSOCIATES, LLC",
"enumeration_date": "2021-05-26",
"last_updated": "2021-05-26",
"certification_date": "2021-05-26",
"status": "A",
"authorized_official_last_name": "BERG",
"authorized_official_first_name": "GEOFFREY",
"authorized_official_middle_name": "ALDEN",
"authorized_official_title_or_position": "MANAGER/MEMBER",
"authorized_official_telephone_number": "541-928-2301",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.