| Brookside Dental-canby, Llc | |
|
1514 Se 3rd Ct Canby OR 97013-4560 | |
| (503) 266-2033 | |
| (503) 468-5925 |
| Full Name | Brookside Dental-canby, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1514 Se 3rd Ct, Canby, Oregon |
| Authorized Official Name and Position | Debbie Lopez (REGIONAL MANAGER) |
| Authorized Official Contact | 5039148221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brookside Dental-canby, Llc 22400 Salamo Rd Ste 102 West Linn OR 97068-8269 Ph: (503) 723-8722 | Brookside Dental-canby, Llc 1514 Se 3rd Ct Canby OR 97013-4560 Ph: (503) 266-2033 |
| NPI Number | 1720718653 |
|---|---|
| Provider Enumeration Date | 06/14/2022 |
| Last Update Date | 06/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720718653 | NPI | - | NPPES |
| 1376532291 | Other | OR | NPI TYPE 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
David H Gisborne, Dmd, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 146 Sw 2nd Ave, Canby, OR 97013 Phone: 503-266-5596 Fax: 503-263-1637 | |
Bd-canby, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1514 Se 3rd Ct, Canby, OR 97013 Phone: 503-266-2033 | |
C Steven Hagler Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 N Holly St, Canby, OR 97013 Phone: 503-266-1117 Fax: 503-266-9114 | |
Cary Dental Canby Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 351 Nw 4th Ave, Canby, OR 97013 Phone: 503-266-6844 | |
Dr. Kevin B. Johnson Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 Nw 3rd Ave, Canby, OR 97013 Phone: 503-266-2705 Fax: 503-266-2973 | |
Richard P. Sale, Dmd, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 Nw 3rd Ave, Canby, OR 97013 Phone: 503-266-2705 Fax: 503-266-2973 | |
Dental Care Of Canby Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 851 Sw 1st Ave Ste 103, Canby, OR 97013 Phone: 503-266-2705 |