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Glen Creek Dental LLC

General Practice Dentistry in Salem, OR · enumerated 2007 · authorized official James Shelton, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1235334012

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Glen Creek Dental LLC
Practice address 470 Glen Creek Rd Nw, Suite 100, Salem, OR, 97304
Phone (503) 581-1142
Fax (503) 581-4809
Enumeration date Jun 20, 2007
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers Primary

Authorized official

Name James Shelton
Title Owner
Phone (503) 581-1142

Other identifiers

Identifier Type State Issuer
1710965611 Other OR INDIVIDUAL

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Glen Creek Dental LLC?
The NPI for Glen Creek Dental LLC is 1235334012, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Glen Creek Dental LLC?
NPPES lists James Shelton (Owner) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.