OrganizationActive
Corvallis Family Dentistry, LLC
NPI 1730459892 · General Practice Dentistry · Corvallis, OR
Corvallis Family Dentistry, LLC is a General Practice Dentistry organization in Corvallis, OR (NPI 1730459892).
Provider details
- NPI number
- 1730459892
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Brian Tidwell, Dentist(541) 929-5227
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
1829 Nw Kings Blvd
Corvallis, OR 97330-1907
Phone: (541) 752-5048
Fax: (541) 752-9213
Street-level locationGet directions
Mailing address
1829 Nw Kings Blvd
Corvallis, OR 97330-1907
Registry dates
- Enumerated
- 2012-01-06
- Last updated
- 2012-01-06
Frequently asked questions
- What is Corvallis Family Dentistry, LLC's NPI number?
- Corvallis Family Dentistry, LLC's National Provider Identifier (NPI) is 1730459892, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Corvallis Family Dentistry, LLC?
- Corvallis Family Dentistry, LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Corvallis Family Dentistry, LLC located?
- Corvallis Family Dentistry, LLC's practice location on file with NPPES is 1829 Nw Kings Blvd, Corvallis, OR 97330-1907.
- What is Corvallis Family Dentistry, LLC's phone number?
- The practice phone number listed in the NPPES registry for Corvallis Family Dentistry, LLC is (541) 752-5048.
- Who is the authorized official for Corvallis Family Dentistry, LLC?
- The authorized official listed on Corvallis Family Dentistry, LLC's NPPES record is Brian Tidwell, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Corvallis Family Dentistry, LLC's NPI active?
- Yes — Corvallis Family Dentistry, LLC's NPI (1730459892) is active in the NPPES registry as of the last update on 2012-01-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.