Organization · Type 2 NPI

Brookside Dental-Canby, LLC

Dental Clinic/Center · Canby, OR

NPI number 1720718653 Active

Practice location

1514 SE 3rd Ct
Canby, OR 97013-4560

Call (503) 266-2033 Map

Fax (503) 468-5925

Mailing address

22400 Salamo Rd Ste 102
West Linn, OR 97068-8269

Specialties and licenses

Taxonomy	Code	License
Dental Clinic/Center Primary	261QD0000X	None listed

Dental Clinic/Center: Definition to come...

2 other providers at this address

Other dental clinic/center providers in Canby

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NPI record

NPI: 1720718653
Entity type: Organization (Type 2)
Issued: Jun 14, 2022
Last updated: Jun 14, 2022
Status: Active

Other names

Brookside Dental-Clackamas · doing business as
Perman Family & Cosmetic Dentistry · doing business as

Authorized official

Debbie Lopez
Regional Manager
(503) 914-8221

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1720718653

Brookside Dental-Canby, LLC's National Provider Identifier is 1720718653, issued on Jun 14, 2022. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Canby, OR. The record was last updated on Jun 14, 2022.