SUNNYSIDE DENTISTRY FOR CHILDREN, P.C.


Address: 11411 Se Sunnyside Rd, Suite 101, Clackamas, OR 97015-5745
Phone: 5038555100

SUNNYSIDE DENTISTRY FOR CHILDREN, P.C. (NPI# 1104156959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104156959
Entity Type Organization
Organization Name SUNNYSIDE DENTISTRY FOR CHILDREN, P.C.
Practice Address 11411 Se Sunnyside Rd
Suite 101
Clackamas
OR 97015-5745
Mailing Address 11411 Se Sunnyside Rd
Suite 101
Clackamas
OR 97015-5713
Practice Telephone 5038555100
Practice Fax Number 5038265196
Mailing Telephone 5038555100
Mailing Fax Number 5038265196
Enumeration Date 2009-12-29
Last Update Date 2015-11-04
Authorized Official Name DR. DAVID E DOYLE, JR (PRESIDENT)
Authorized Official Telephone 5038555100
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
D6490 OR Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
OR 005996 05

Office Location

Street Address 11411 SE SUNNYSIDE RD
SUITE 101
City CLACKAMAS
State OR
Zip Code 97015-5745

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184103517 Laurel Perilli Physical Therapist 12550 Se 93rd Ave Ste 265, Clackamas, OR 97015 2018-08-07
1306324538 Kristin Connor Messing Physical Therapist 4805 Ne Glisan St, Prov Hall 7e06, Portland, OR 97015 2018-07-31
1902317266 Darcy Jones Hamrick Counselor 12901 Se 97th Ave., Suite 340, Clackamas, OR 97015 2017-10-13
1841723384 Manon Lavoie Chiropractor 17105 Se Sunnyside Rd, Suite 148, Happy Valley, OR 97015 2017-04-11
1235670126 Michael G Short Pedorthist 10117 Se Sunnyside Rd., Ste. H, Clackamas, OR 97015 2017-03-13
1487100756 Michael Joseph Peizner Pharmacist 16300se Evelyn Street, Clackamas, OR 97015 2016-08-28
1316395619 Jennifer Elaine Walkowski Physical Therapist 9100 Se Sunnyside Road, Clackamas, OR 97015 2016-05-26
1649635384 Brookside Dental - Milwaukie, LLC Dentist 9225 Se Sunnyside Rd. Ste 1, Clackamas, OR 97015 2015-12-23
1801216130 Robert D. Grew Dmd, Inc. Dentist 10163 Se Sunnyside Road, Suite 414, Clackamas, OR 97015 2014-04-25
1508205410 Valerie P Tabalno Massage Therapist 15661 Se 82nd Dr, Clackamas, OR 97015 2013-06-25
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Taxonomy Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy Definition

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.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023222643 Young Kidz Dental Dentist 14210 Se Sunnyside Rd Ste 100, Clackamas, OR 97015-5241 2007-05-10
1144213133 David Edward Doyle Jr. Dentist 10121 Se Sunnyside Rd, Suite 320, Clackamas, OR 97015-5745 2005-08-25
1952615593 Emma Chioma Adanma Kalu Onwuka Dentist 12000 Se 82nd Ave Ste 1145, Clackamas, OR 97086-7735 2010-08-05
1578683744 Mary Beth Aubrey Dentist 10209 Se Sunnyside Rd, Clackamas, OR 97015-9782 2007-03-30
1841299377 Todd M Young Dentist 14210 Se Sunnyside Rd, Clackamas, OR 97015-5241 2005-07-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1588297279 Dennis M Dunne Dds PC Dentist 1600 Executive Pkwy Ste 350, Eugene, OR 97401-7110 2020-02-20
1225678139 Eric E Jacobsen Dds PC Dentist 19502 Molalla Ave Ste 109, Oregon City, OR 97045-4513 2020-01-08
1982168506 Anthony Frank Vinciguerra Dentist 37315 Second St, Nehalem, OR 97131-9679 2019-01-28
1114493582 Matt W Anderson Dds PC Dentist 2215 Willamette St Ste A, Eugene, OR 97405-3341 2018-10-23
1366923245 Big Tooth Little Tooth Pediatric Dentistry PC Dentist 2020 8th Ave Ste 121, West Linn, OR 97068-4657 2018-08-28
1578057618 Bittner & Flann LLC Dentist 17680 Sw Handley St Ste 201, Sherwood, OR 97140-9299 2018-06-21
1700374154 Fox Kids Dentistry & Orthodontics II Dentist 1401 Se Morrison St Ste 120, Portland, OR 97214-2777 2018-05-01
1053812081 Armin Afshar Dentist 201 Se Washington St Ste A, Dallas, OR 97338-2860 2018-02-25
1942712922 Harmony Pediatric Dental Group LLC Dentist 37515 Se Hwy 26, Sandy, OR 97055 2017-10-30
1790225399 Childrens Dentistry Dentist 515 W Idaho Ave, Ontario, OR 97914-2348 2017-03-01
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Competitor

Search similar providers

City CLACKAMAS
Zip Code 97015

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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