Mill Creek Dental, Inc.

NPI #1497823546 in Stayton, Oregon

Provider Information

NPI Number: 1497823546
Entity Type: Organization
Organization Name: Mill Creek Dental, Inc.
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 30, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 521 N 1ST AVE
City: Stayton
State: Oregon
ZIP Code: 97383-1703
Phone: (503) 769-9699

Authorized Official

Name: DR. TIMOTHY WILLLIAM BURNS, D.D.S.
Title: PRESIDENT
Phone: (503) 769-9699

Specialties & Taxonomy Codes

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

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