OrganizationActive
Acorn Dentistry for Kids - Lebanon, LLC
NPI 1831633122 · Dental Clinic/Center · Lebanon, OR
Provider details
- NPI number
- 1831633122
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Acorn Dentistry for Kids, LLC
- Organization subpart
- Yes
- Authorized official
- Tim Richardson, Owner(360) 852-0809
- License
- D9577 (OR)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1780 S Main St
Lebanon, OR 97355-3139
Phone: (503) 874-4560
Fax: (503) 874-4562
Approximate (ZIP-level) locationGet directions
Mailing address
1780 S Main St
Lebanon, OR 97355-3139
Registry dates
- Enumerated
- 2016-12-06
- Last updated
- 2016-12-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.