CLACKAMAS SQUARE DENTAL GROUP PC NPI 1336578418

NPI Information

  • NPI: 1336578418
  • Provider Name: CLACKAMAS SQUARE DENTAL GROUP, PC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Doing Business As: CLACKAMAS SQUARE DENTAL GROUP
  • Address: 11398 SE 82ND AVE
    SUITE 802
    HAPPY VALLEY, OR
    ZIP 97086
  • Phone: (503) 513-6000

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NPI Details

CLACKAMAS SQUARE DENTAL GROUP, PC is a general practice dentist in Happy Valley, OR. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. CLACKAMAS SQUARE DENTAL GROUP, PC NPI is 1336578418. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Clackamas Square Dental Group.

The provider's business location address is:

11398 SE 82ND AVE
SUITE 802
HAPPY VALLEY, OR
ZIP 97086-637
Phone: (503) 513-6000
Fax: (503) 513-6002

The provider's authorized official is Richard Ashton .
The authorized official title is Owner and has the following contact phone number (503) 513-6000.

The enumeration date for this NPI number is 11/8/2013 and was last updated on 11/8/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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