OrganizationActive
Sandcreek Dental LLC
NPI 1952669657 · Dental Clinic/Center · Tillamook, OR
Provider details
- NPI number
- 1952669657
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Cyrus Javadi, Sole Member(503) 801-5363
- License
- D9114 (OR)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(79/100 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
1115 Main Ave
Tillamook, OR 97141-3819
Phone: (503) 842-7788
Street-level locationGet directions
Mailing address
1115 Main Ave
Tillamook, OR 97141-3819
Registry dates
- Enumerated
- 2012-05-01
- Last updated
- 2012-05-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.