Jeff Van Kirk, Dmd, PC

NPI #1124440417 in Stayton, Oregon

Provider Information

NPI Number: 1124440417
Entity Type: Organization
Organization Name: Jeff Van Kirk, Dmd, PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 6, 2014
Last Updated: Jan 6, 2014

Practice Location

Address: 450 E WASHINGTON ST
City: Stayton
State: Oregon
ZIP Code: 97383-1837
Phone: (503) 769-6351

Authorized Official

Name: DR. JEFF SCOTT VAN KIRK, DMD
Title: PRESIDENT, GENERAL DENTIST
Phone: (216) 394-3140

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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