OrganizationActive
Idylwood Dental LLC
NPI 1437643616 · General Practice Dentistry · Salem, OR
Provider details
- NPI number
- 1437643616
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Edgar Merzenich, Clinical Director(503) 315-2500
- License
- 4063 (OR)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
4392 Liberty Road
Salem, OR 97302-6171
Phone: (503) 315-2500
Fax: (503) 315-7227
Street-level locationGet directions
Mailing address
Po Box 3000
Salem, OR 97302-8001
Registry dates
- Enumerated
- 2018-06-20
- Last updated
- 2018-06-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.