| Clackamas Smiles Family Dental | |
|
10001 Se Sunnyside Rd Ste 250 Clackamas OR 97015-5746 | |
| (503) 786-3000 | |
| (503) 786-3501 |
| Full Name | Clackamas Smiles Family Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 10001 Se Sunnyside Rd, Clackamas, Oregon |
| Authorized Official Name and Position | Jeremy C Suess (PRESIDENT) |
| Authorized Official Contact | 5037863000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clackamas Smiles Family Dental 10001 Se Sunnyside Rd Ste 250 Clackamas OR 97015-5746 Ph: (503) 786-3000 | Clackamas Smiles Family Dental 10001 Se Sunnyside Rd Ste 250 Clackamas OR 97015-5746 Ph: (503) 786-3000 |
| NPI Number | 1134575004 |
|---|---|
| Provider Enumeration Date | 05/10/2016 |
| Last Update Date | 05/10/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134575004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D9491 (Oregon) | Primary |
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