Active NPI
Ctr Dental Northwest
- General Practice Dentistry
- Roseburg, OR
National Provider Identifier
1467253161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- CTR DENTAL NORTHWEST
- Practice address
- 1683 W Harvard Ave
Roseburg, OR 97471-2812 - Phone
- (678) 471-8308
- NPI assigned
- Mar 20, 2025
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
1683 W Harvard Ave
Roseburg, OR 97471-2812
Mailing address
1683 W Harvard Ave
Roseburg, OR 97471-2812
Phone (678) 471-8308
Other practice location 1
150 Main St
Riddle, OR 97469-8760
Phone (541) 874-3127
Other practice location 2
2245 Mission St SE
Salem, OR 97302-1291
Phone (503) 399-0220
Other practice location 3
16415 SE 15th St Ste 105
Vancouver, WA 98683-9802
Phone (360) 953-8135
Other practice location 4
11084 SE Oak St
Milwaukie, OR 97222-6692
Phone (503) 659-9667
Other practice location 5
109 S 65th Ave
Ridgefield, WA 98642-3407
Phone (360) 887-2333
Other practice location 6
175 Park St
Lebanon, OR 97355-4225
Phone (541) 258-4746
Other practice location 7
2201 Willamette St Ste A
Eugene, OR 97405-3091
Phone (541) 343-3722
Other names 1
- Pacific Crest Smiles Dental
National Provider Directory
National Provider DirectoryLocations
2201 Willamette St
Ste A
Eugene, OR 97405
Phone (541) 343-3722
175 Park St
Lebanon, OR 97355
Phone (541) 258-4746
11084 SE Oak St
Milwaukie, OR 97222
Phone (503) 659-9667
1683 W Harvard Ave
Roseburg, OR 97471
Phone (541) 262-2610
16415 SE 15th St
Ste 105
Vancouver, WA 98683
Phone (360) 953-8135
Practitioners & affiliated clinicians
Practitioners 10
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Roseburg, OR
- NPI 1407371511
-
- Dental Hygienist
- Eugene, OR
- NPI 1790951572
-
- Dentist
- Eugene, OR
- NPI 1295838696
-
- General Practice Dentistry
- Lebanon, OR
- NPI 1326311903
General Practice
-
- Dental Hygienist
- Eugene, OR
- NPI 1205002268
-
- Dentist
- Tampa, FL
- NPI 1669001095
NPI Registry JSON
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": "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": "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": "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": "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": "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"
}
]
}Other providers in Roseburg, OR
Sources for this page
- 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.