| Sunnyside Dentistry For Children, P.c. | |
|
11411 Se Sunnyside Rd Suite 101 Clackamas OR 97015-5745 | |
| (503) 855-5100 | |
| (503) 826-5196 |
| Full Name | Sunnyside Dentistry For Children, P.c. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 11411 Se Sunnyside Rd, Clackamas, Oregon |
| Authorized Official Name and Position | David E Doyle, Jr (PRESIDENT) |
| Authorized Official Contact | 5038555100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunnyside Dentistry For Children, P.c. 11411 Se Sunnyside Rd Suite 101 Clackamas OR 97015-5713 Ph: (503) 855-5100 | Sunnyside Dentistry For Children, P.c. 11411 Se Sunnyside Rd Suite 101 Clackamas OR 97015-5745 Ph: (503) 855-5100 |
| NPI Number | 1104156959 |
|---|---|
| Provider Enumeration Date | 12/29/2009 |
| Last Update Date | 11/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104156959 | NPI | - | NPPES |
| 005996 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | D6490 (Oregon) | Primary |
Young Kidz Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 14210 Se Sunnyside Rd Ste 100, Clackamas, OR 97015 Phone: 503-658-3384 Fax: 503-658-1817 | |
Gemma Hill Dds Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 14210 Se Sunnyside Rd Ste 300, Clackamas, OR 97015 Phone: 503-659-5000 | |
Dr. Suess Family Dental Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10001 Se Sunnyside Rd, Ste 250, Clackamas, OR 97015 Phone: 503-786-3000 Fax: 503-786-3501 | |
Sunnyside Family Dentistry Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11808 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-698-1112 Fax: 971-224-5027 | |
Wyatt & Casebeer Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 14210 Se Sunnyside Rd Ste 200, Clackamas, OR 97015 Phone: 503-541-5104 | |
Dental Doc Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11808 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-698-1112 Fax: 503-698-1119 |