OrganizationActive
Advantage Dental Associates of Crook County, LLC
NPI 1649573585 · General Practice Dentistry · Prineville, OR
Provider details
- NPI number
- 1649573585
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- R. Mike Shirtcliff, Authorized Representative(541) 447-5838
Specialties & taxonomies
Dental Providers
Practice location
257 Ne 2nd St
Prineville, OR 97754-1910
Phone: (541) 447-5838
Fax: (541) 447-5883
Approximate (ZIP-level) locationGet directions
Mailing address
257 Ne 2nd St
Prineville, OR 97754-1910
Registry dates
- Enumerated
- 2010-12-15
- Last updated
- 2010-12-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.