Organization
MILL CREEK DENTAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY WILLLIAM BURNS D.D.S. (PRESIDENT)
(503) 769-9699
Entity
Organization
Contact information
Practice address
521 N 1ST AVE, STAYTON, OR 97383-1703
(503) 769-9699
(503) 769-8599
Mailing address
521 N 1ST AVE, STAYTON, OR 97383-1703
(503) 769-9699
(503) 769-8599
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6854
OR
Other
Enumeration date
11/30/2006
Last updated
08/22/2020
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