OrganizationActive
Timothy R. Harbolt, DMD
NPI 1114924933 · General Practice Dentistry · Keizer, OR
Provider details
- NPI number
- 1114924933
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Timothy Harbolt, President(503) 551-6349
- License
- D6816 (OR)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
4734 River Rd N
Keizer, OR 97303-4536
Phone: (503) 463-4663
Fax: (503) 463-4666
Street-level locationGet directions
Mailing address
4734 River Rd N
Keizer, OR 97303-4536
Other names (DBA / former)
- Doing business as
- Family Dental Group
Registry dates
- Enumerated
- 2005-07-07
- Last updated
- 2012-09-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.