Applegate Valley Dental Inc
NPI 1316329394ActiveOrganization· Dentist· Jacksonville, OR
Dentist in Jacksonville, Oregon, registered in NPPES in June 2015. The authorized official on file is Michael R. Boldt, DMD, Secretary.
Overview
| NPI | 1316329394 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 25, 2015 |
| Last updated in NPPES | Jun 25, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | D6349 | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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