Healthcare Provider Details

I. General information

NPI: 1407704331
Provider Name (Legal Business Name): DOW FAMILY DENTISTRY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2026
Last Update Date: 03/17/2026
Certification Date: 03/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1455 18TH ST
SPRINGFIELD OR
97477-3425
US

IV. Provider business mailing address

1455 18TH ST
SPRINGFIELD OR
97477-3425
US

V. Phone/Fax

Practice location:
  • Phone: 541-726-9644
  • Fax: 937-398-0629
Mailing address:
  • Phone: 541-726-9644
  • Fax: 937-398-0629

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: RHONDA HARP
Title or Position: OFFICE MANAGER
Credential:
Phone: 541-726-9644