SUNNYSIDE FAMILY DENTISTRY LLC
NPI 1174004220
Clinic/Center - Dental in Clackamas, OR

Active since August 27, 2018
11808 SE SUNNYSIDE RD, CLACKAMAS, OR 97015(503) 698-1112(971) 224-5027 Get Directions Write a Review

NPPES record last updated: August 27, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sunnyside Family Dentistry Llc NPPES

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

SUNNYSIDE FAMILY DENTISTRY LLC (NPI 1174004220) is a healthcare organization registered as a dental in Clackamas, Oregon and active in the NPI registry since August 2018. The organization lists Alyssa Williams, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1174004220
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameSUNNYSIDE FAMILY DENTISTRY LLC
Location Address11808 SE SUNNYSIDE RDClackamas, OR 97015-9308
Mailing Address11808 Se Sunnyside RdClackamas, OR 97015-9308 · (503) 698-1112 · Fax (971) 224-5027
Fax(971) 224-5027
Organization SubpartNo
Authorized OfficialAlyssa WilliamsOffice Manager · (503) 752-7463
Enumeration DateAugust 27, 2018
NPI 1174004220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
11808 SE SUNNYSIDE RD, Clackamas, OR 97015

Other Providers at the Same Location NPPES 3

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

Dentist
11808 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Dentist
11808 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clinic/Center (Dental)
11808 SE SUNNYSIDE RD
CLACKAMAS, OR 97015

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 Family Dentistry LLC's NPI number?

The NPI number for Sunnyside Family Dentistry LLC is 1174004220. It was assigned to this organization in the NPPES registry on August 27, 2018.

Where is Sunnyside Family Dentistry LLC located?

Sunnyside Family Dentistry LLC is located at 11808 SE Sunnyside Rd, Clackamas, OR 97015. The listed phone number is (503) 698-1112.

What is Sunnyside Family Dentistry LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Sunnyside Family Dentistry LLC was last updated on August 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.