Individual
DAVID ELDREDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2500 NW CENTURY DR, CORVALLIS, OR 97330-3498
(541) 754-0600
(541) 758-4282
Mailing address
2500 NW CENTURY DR, CORVALLIS, OR 97330-3498
(541) 750-0600
(541) 758-4282
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10373569
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D10798
OREGON DENTAL LICENSE
OR
Enumeration date
05/15/2017
Last updated
07/21/2022
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