Healthcare Provider Details

I. General information

NPI: 1457283723
Provider Name (Legal Business Name): OAKMONT KIDS PEDIATRIC DENTISTRY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2479 OAKMONT WAY
EUGENE OR
97401-6460
US

IV. Provider business mailing address

2479 OAKMONT WAY
EUGENE OR
97401-6460
US

V. Phone/Fax

Practice location:
  • Phone: 541-204-0830
  • Fax: 541-204-0836
Mailing address:
  • Phone: 541-204-0830
  • Fax: 541-204-0836

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number
License Number State

VIII. Authorized Official

Name: MATTHEW L MCLAUGHLIN
Title or Position: OWNER
Credential: DDS
Phone: 541-204-0830