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CLOVER PEDIATRIC DENTISTRY
NPI 1003599689
Dentist - Pediatric Dentistry in Salem, OR

Active since August 09, 2023
2225 MISSION ST SE STE 150, SALEM, OR 97302(541) 990-0363 Get Directions Write a Review

NPPES record last updated: May 30, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 9, 2023, Aug 9, 2023 (2 updates tracked since 2023).

About Clover Pediatric Dentistry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLOVER PEDIATRIC DENTISTRY (NPI 1003599689) is a healthcare organization registered as a pediatric dentistry in Salem, Oregon and active in the NPI registry since August 2023. The organization lists Benjamin James, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1003599689
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameCLOVER PEDIATRIC DENTISTRY
Location Address2225 MISSION ST SE STE 150Salem, OR 97302-1296
Mailing Address2235 Mission St Se Ste 250Salem, OR 97302-1294 · (541) 990-0363
Phone(541) 990-0363
Organization SubpartNo
Authorized OfficialBenjamin JamesOwner/dentist · (541) 666-6091
Enumeration DateAugust 9, 2023
Last NPPES UpdateMay 30, 20242 updates tracked since enumeration
NPPES CertifiedMay 30, 2024
✔ NPI 1003599689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
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.
2225 MISSION ST SE STE 150, Salem, OR 97302
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clover Pediatric Dentistry's NPI number?

The NPI number for Clover Pediatric Dentistry is 1003599689. It was assigned to this organization in the NPPES registry on August 9, 2023.

Where is Clover Pediatric Dentistry located?

Clover Pediatric Dentistry is located at 2225 Mission St SE Ste 150, Salem, OR 97302. The listed phone number is (541) 990-0363.

What is Clover Pediatric Dentistry's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Clover Pediatric Dentistry was last updated on May 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.