Organization Active NPI

Adc Dental Clinic, Inc

Doing business as Astoria Denture Clinic

  • Dentist
  • Medford, OR
National Provider Identifier
1760420467
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D8035 Issued in OR
Legal business name
ADC DENTAL CLINIC, INC
Doing business as
Astoria Denture Clinic
Practice address
720 Bennett Ave
Medford, OR 97504-6722
Phone
(541) 772-8280
Fax
(541) 734-7771
NPI assigned
Jun 3, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Becky L Eplett
Title
Office Manager
Phone
(541) 772-8280

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X D8035 OR Primary
DenturistGroup: 193200000X MULTI-SPECIALTY GROUP 122400000X DT-DO849475 OR

Addresses

Primary practice location

720 Bennett Ave
Medford, OR 97504-6722

Mailing address

720 Bennett Ave
Medford, OR 97504-6722
Phone (541) 772-8280

Other names 1

  • Astoria Denture Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

720 Bennett Ave
Medford, OR 97504
Phone (541) 772-8280

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1760420467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 BENNETT AVE",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046722",
            "telephone_number": "541-772-8280",
            "fax_number": "541-734-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 BENNETT AVE",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046722",
            "telephone_number": "541-772-8280",
            "fax_number": "541-734-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADC DENTAL CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "EPLETT",
        "authorized_official_first_name": "BECKY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "541-772-8280"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "OR",
            "license": "D8035",
            "primary": true
        },
        {
            "code": "122400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Denturist",
            "state": "OR",
            "license": "DT-DO849475",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Astoria Denture Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.