CLACKAMAS TOWN DENTAL, LLC (NPI# 1699027672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699027672 |
| Entity Type | Organization |
| Organization Name | CLACKAMAS TOWN DENTAL, LLC |
| Practice Address |
9225 Se Sunnyside Road Clackamas OR 97086 |
| Mailing Address |
9225 Se Sunnyside Road Clackamas OR 97015 |
| Practice Telephone | 5039053380 |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2012-10-15 |
| Authorized Official Name | DR. SARAH NICHOL (DIRECTOR OF FINANCES) |
| Authorized Official Telephone | 5038808581 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | OR | Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | CLACKAMAS TOWN DENTAL, LLC | 9225 Se Sunnyside Road, Clackamas, OR 97086 |
| Street Address |
9225 SE SUNNYSIDE ROAD |
| City | CLACKAMAS |
| State | OR |
| Zip Code | 97086 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063803674 | Brandy Lynn Sajovic | Case Manager/Care Coordinator | 10822 Se 82nd Ave., Suite K, Happy Valley, OR 97086 | 2015-02-18 |
| 1851795561 | Tyler Lundquist | Chiropractor | 16144 Se Happy Valley Town Center Dr #214, Happy Valley, OR 97086 | 2014-10-09 |
| 1184040644 | Rui O'reilly | Massage Therapist | 10911 Se Alyssa Dr, Happy Valley, OR 97086 | 2014-03-07 |
| 1083036990 | Laura Dillard | Registered Nurse | 10822 Se 82nd Ave, Happy Valley, OR 97086 | 2014-01-11 |
| 1750639233 | Northland Hearing Centers, Inc. | Hearing Instrument Specialist | 11800 Se 82nd Avenue, Happy Valley, OR 97086 | 2012-08-15 |
| 1962641654 | Mt Scott Vision and Ocular Imaging Center PC | Optometrist | 9300 Ne 91st Ave, Suite 100, Happy Valley, OR 97086 | 2009-02-19 |
| 1598916546 | Cynthia Sue Weaver | Nurse Practitioner | 9300 Se 91 Ave., Suite 400, Portland, OR 97086 | 2008-10-08 |
| 1396928776 | Cary Ann Fardal | Dietitian, Registered | 13444 Se Piper Dr, Happy Valley, OR 97086 | 2007-12-09 |
| 1689873242 | New Seasons Market - Happy Valley | Pharmacy | 15861 Se Happy Valley Town Center Dr., Happy Valley, OR 97086 | 2007-07-13 |
| 1821203522 | Sunnybrook Family Dental LLC | Dentist | 11411 Se Sunnyside Rd, Suite 102, Happy Valley, OR 97086 | 2007-05-14 |
| Find all providers in zip 97086 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366894453 | Karl S Shao | Dentist | 9225 Se Sunnyside Rd Ste 1, Clackamas, OR 97015-6703 | 2016-07-13 |
| 1801216130 | Robert D. Grew Dmd, Inc. | Dentist | 10163 Se Sunnyside Road, Suite 414, Clackamas, OR 97015 | 2014-04-25 |
| 1285618470 | Dental Doc PC | Dentist | 11808 Se Sunnyside Rd, Clackamas, OR 97015-9308 | 2005-12-01 |
| 1205837135 | Ross Howard Hoevet | Dentist | 13520 Se 97th Ave, Clackamas, OR 97015-7691 | 2005-08-02 |
| 1376541433 | Quynh Diem Nguyen | Dentist | 12845 Se 93rd Ave, Clackamas, OR 97015 | 2005-07-12 |
| 1518564988 | Beatrix Zenger | Dentist | 15230 Se 82nd Dr, Clackamas, OR 97015-9606 | 2020-10-07 |
| 1447734132 | Andrew Chase Henderson | Dentist | 11808 Se Sunnyside Rd, Clackamas, OR 97015-9308 | 2018-09-19 |
| 1750883963 | Kyle Edward Herndon | Dentist | 9225 Se Sunnyside Rd Ste 1, Clackamas, OR 97015-6703 | 2018-03-03 |
| 1689025975 | Yizhou Zhu | Dentist | 13023 Se 84th Ave Ste A, Clackamas, OR 97015-9798 | 2016-06-28 |
| 1912301672 | Ryan Carpenter | Dentist | 15480 Se 82nd Dr, Clackamas, OR 97015-9633 | 2014-10-09 |
| Find all providers in CLACKAMAS | ||||
Please comment or provide details below to improve the information on CLACKAMAS TOWN DENTAL, LLC.
| 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.