Ctr Dental Northwest

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CTR DENTAL NORTHWEST

Doing business as

Pacific Crest Smiles Dental

Practice address

1683 W Harvard Ave
Roseburg, OR 97471-2812

Phone

(678) 471-8308

NPI assigned

Mar 20, 2025

Last updated

Mar 20, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

McKay Marshall

Title

Cfo

Phone

(678) 471-8308

Specialties & licenses 1

Addresses

Other names 1

• Pacific Crest Smiles Dental Doing business as

Locations

Practitioners 10

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.

• Dale Louis McNutt, DMD

  • Dentist
  • Roseburg, OR
  • NPI 1407371511
  NPD
• Peter Garcia, D.M.D.

  • General Practice Dentistry
  • Milwaukie, OR
  • NPI 1144213802
  NPD (past)
• Randy Marion Litwiller, RDH

  • Dental Hygienist
  • Eugene, OR
  • NPI 1790951572
  NPD (past)
• Cynthia F. Marshall, DMD

  • General Practice Dentistry
  • Lebanon, OR
  • NPI 1821081704
  NPD (past)
• David Richard Matthews, DMD

  • Dentist
  • Eugene, OR
  • NPI 1295838696
  NPD (past)
• Anna Marie Lee Messenger, DDS

  • General Practice Dentistry
  • Lebanon, OR
  • NPI 1326311903
  NPD (past)
• Elizabeth Day Washington, RDH

  • Dental Hygienist
  • Eugene, OR
  • NPI 1205002268
  NPD (past)
• Kenneth DO, DDS

  • General Practice Dentistry
  • Ridgefield, WA
  • NPI 1467201400
  NPD (past)
• Kotschai Hemat

  • Dentist
  • Tampa, FL
  • NPI 1669001095
  NPD (past)
• Tristan James Parry, DDS

  • General Practice Dentistry
  • Summerfield, NC
  • NPI 1518215748
  NPD (past)

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

{
    "created_epoch": "1742428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742428800000",
    "number": "1467253161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1683 W HARVARD AVE",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974712812",
            "telephone_number": "678-471-8308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1683 W HARVARD AVE",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974712812",
            "telephone_number": "678-471-8308"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "175 Park St",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "OR",
            "postal_code": "973554225",
            "country_code": "US",
            "telephone_number": "541-258-4746",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11084 SE Oak St",
            "address_purpose": "LOCATION",
            "city": "Milwaukie",
            "state": "OR",
            "postal_code": "972226692",
            "country_code": "US",
            "telephone_number": "503-659-9667",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "109 S 65th Ave",
            "address_purpose": "LOCATION",
            "city": "Ridgefield",
            "state": "WA",
            "postal_code": "986423407",
            "country_code": "US",
            "telephone_number": "360-887-2333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2245 Mission St SE",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973021291",
            "country_code": "US",
            "telephone_number": "503-399-0220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16415 SE 15th St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986839802",
            "country_code": "US",
            "telephone_number": "360-953-8135",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 Main St",
            "address_purpose": "LOCATION",
            "city": "Riddle",
            "state": "OR",
            "postal_code": "974698760",
            "country_code": "US",
            "telephone_number": "541-874-3127",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2201 Willamette St Ste A",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974053091",
            "country_code": "US",
            "telephone_number": "541-343-3722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CTR DENTAL NORTHWEST",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-20",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "MCKAY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "678-471-8308"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Crest Smiles Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Edith Lynn Cronk, LCSW
• Jazmin Crookes, MA, LPC
• Michaela Cross, CHW
• Shelli Cross
• Anna Crumrine, PA-C
• Tammy Cuebas
• Loren Culberhouse
• Taylor Morgan Culberhouse, CHW
• Hanna Rae Culbertson, LCSW
• Jarrod Michael Cullan, MD

• General Practice Dentistry in Roseburg, OR
• Providers in Roseburg, 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 Mar 20, 2025; 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.