Mid-Valley Dental Associates Corvallis LLC
NPI 1992169742ActiveOrganization· Dentist, General Practice· Corvallis, OR
Dentist, General Practice in Corvallis, Oregon, registered in NPPES in April 2016, part of Mid-Valley Dental Associates LLC. The authorized official on file is Mandy Kay Dittmer, Practice Manager.
Overview
| NPI | 1992169742 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Mid-Valley Dental Associates LLC |
| NPI issued | Apr 7, 2016 |
| Last updated in NPPES | Apr 7, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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 |
|---|
Other general dentists in Corvallis
- 1053744243
- 1104371566
- 1265791909
- 1295733913
- 1396272811
- 1427571397
- 1528132669
- 1639266570
- 1740582477
- 1831404078
- 1861584252
- 1881026540
All 55 general dentists in Corvallis · All general dentists in Oregon