Organization
JEFF VAN KIRK, DMD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFF SCOTT VAN KIRK DMD (PRESIDENT, GENERAL DENTIST)
(216) 394-3140
Entity
Organization
Contact information
Practice address
450 E WASHINGTON ST, STAYTON, OR 97383-1837
(503) 769-6351
(503) 759-7029
Mailing address
1390 ALPINE LAKES ST SE, SALEM, OR 97317-6976
(216) 394-3140
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9848
OR
Other
Enumeration date
01/06/2014
Last updated
01/06/2014
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