OrganizationActive
South Umpqua Family Dental
NPI 1033349816 · General Practice Dentistry · Riddle, OR
Provider details
- NPI number
- 1033349816
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Eric Cornelius, Managing Member(541) 874-3126
- License
- D9281 (OR)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
150 Main Street
Riddle, OR 97469
Phone: (541) 874-3126
Fax: (541) 874-3259
Approximate (ZIP-level) locationGet directions
Mailing address
150 Main Street
Riddle, OR 97469
Registry dates
- Enumerated
- 2009-07-15
- Last updated
- 2009-07-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.