| Jeff Van Kirk, Dmd, Pc | |
|
450 E Washington St Stayton OR 97383-1837 | |
| (503) 769-6351 | |
| (503) 759-7029 |
| Full Name | Jeff Van Kirk, Dmd, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 450 E Washington St, Stayton, Oregon |
| Authorized Official Name and Position | Jeff Scott Van Kirk (PRESIDENT, GENERAL DENTIST) |
| Authorized Official Contact | 2163943140 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeff Van Kirk, Dmd, Pc 1390 Alpine Lakes St Se Salem OR 97317-6976 Ph: (216) 394-3140 | Jeff Van Kirk, Dmd, Pc 450 E Washington St Stayton OR 97383-1837 Ph: (503) 769-6351 |
| NPI Number | 1124440417 |
|---|---|
| Provider Enumeration Date | 01/06/2014 |
| Last Update Date | 01/06/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124440417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D9848 (Oregon) | Primary |
Mill Creek Dental, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 521 N 1st Ave, Stayton, OR 97383 Phone: 503-769-9699 Fax: 503-769-8599 | |
Daren L. Goin, Dmd, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 505 N 2nd Ave, Stayton, OR 97383 Phone: 503-769-3366 Fax: 503-769-5501 | |
Cory M. Smith, Dmd, L.l.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 505 N 2nd Ave, Stayton, OR 97383 Phone: 503-769-3366 Fax: 503-769-5501 |