Organization · Type 2 NPI
Sunnyside Dentistry for Children, P.c.
Pediatric Dentistry · Clackamas, OR
NPI number
1104156959
Active
Practice location
11411 SE Sunnyside Rd, Suite 101
Clackamas, OR 97015-5745
Fax (503) 826-5196
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | D6490 (OR) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Another provider at this address
Other pediatric dentistry providers in Clackamas
About NPI 1104156959
Sunnyside Dentistry for Children, P.c.'s National Provider Identifier is 1104156959, issued on Dec 29, 2009. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Clackamas, OR. The record was last updated on Nov 4, 2015.