SUNNYSIDE DENTISTRY FOR CHILDREN, P.C.
NPI 1104156959
Dentist - Pediatric Dentistry in Clackamas, OR

Q: What is Sunnyside Dentistry For Children, P.C.'s specialty?

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

Active since December 29, 2009

11411 SE SUNNYSIDE RD, SUITE 101, CLACKAMAS, OR 97015(503) 855-5100(503) 826-5196 Get Directions Write a Review

NPPES record last updated: November 4, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Sunnyside Dentistry For Children, P.c. NPPES

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

SUNNYSIDE DENTISTRY FOR CHILDREN, P.C. (NPI 1104156959) is a healthcare organization registered as a pediatric dentistry in Clackamas, Oregon and active in the NPI registry since December 2009. The organization lists David E Doyle, Jr, President, as its authorized official.

NPPES Registry Identity

NPI1104156959

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameSUNNYSIDE DENTISTRY FOR CHILDREN, P.C.

Location Address11411 SE SUNNYSIDE RD, SUITE 101Clackamas, OR 97015-5745

Mailing Address11411 Se Sunnyside Rd, Suite 101Clackamas, OR 97015-5713 · (503) 855-5100 · Fax (503) 826-5196

Phone(503) 855-5100

Fax(503) 826-5196

Organization SubpartNo

Authorized OfficialDavid E Doyle, JrPresident · (503) 855-5100

Enumeration DateDecember 29, 2009

Last NPPES UpdateNovember 4, 2015

✔ NPI 1104156959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in OR · D6490

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.

11411 SE SUNNYSIDE RD, Clackamas, OR 97015

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Other Identifiers 1

Medicaid005996OR

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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DUSTIN M. DAVIS, DDS, LLC

Clinic/Center (Dental)

11411 SE SUNNYSIDE RD
CLACKAMAS, OR 97015

Clackamas County (503) 855-5100

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 Sunnyside Dentistry For Children, P.C.'s NPI number?

The NPI number for Sunnyside Dentistry For Children, P.C. is 1104156959. It was assigned to this organization in the NPPES registry on December 29, 2009.

Where is Sunnyside Dentistry For Children, P.C. located?

Sunnyside Dentistry For Children, P.C. is located at 11411 SE Sunnyside Rd Suite 101, Clackamas, OR 97015. The listed phone number is (503) 855-5100.

What is Sunnyside Dentistry For Children, P.C.'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 Sunnyside Dentistry For Children, P.C. was last updated on November 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.