Glen Creek Dental LLC

NPI #1235334012 in Salem, Oregon

Provider Information

NPI Number: 1235334012
Entity Type: Organization
Organization Name: Glen Creek Dental LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 20, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 470 GLEN CREEK RD NW
Address 2: SUITE 100
City: Salem
State: Oregon
ZIP Code: 97304-3060
Phone: (503) 581-1142

Authorized Official

Name: DR. JAMES E SHELTON, DMD
Title: OWNER
Phone: (503) 581-1142

Specialties & Taxonomy Codes

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

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