Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1730259490 Individual Practitioner Male Practitioner

Dr. Larry Edward Goedeck , DMD LLC

Dentist - General Practice • Prineville, OR

Professional Overview & Biography Verified Profile Summary

Dr. Larry Goedeck, DMD LLC is a registered healthcare professional specializing in Dentist - General Practice in Prineville, OR. Practice services are available at 257 NE 2ND ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

257 Ne 2nd St

Prineville, OR 97754

Telephone 5414475838
Fax 5414475883
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Prineville, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
4 Specialists

Practicing in Prineville, OR (1994 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License OR 4325

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Omap
069781 (OR)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1265715403

Bachelor of Science, Registered Dental Hygienist, LAP

NPI 1366745127

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 257 NE 2ND ST, PRINEVILLE, OR 97754 (Tel: 5414475838)

📍
Updated Business Mailing Address July 08, 2007

Registered at 257 NE 2ND ST, PRINEVILLE, OR 97754 (Tel: 5414475838)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as LARRY GOEDECK, DMD LLC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #4325 in OR)

🟢
Initial NPI Registration & Enumeration November 09, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1730259490
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 09, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

257 Ne 2nd St

Prineville, OR 97754

Phone: 5414475838

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.