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CLACKAMAS SQUARE DENTAL GROUP
NPI 1336578418
Dentist - General Practice in Happy Valley, OR

Active since November 08, 2013
11398 SE 82ND AVE, SUITE 802, HAPPY VALLEY, OR 97086(503) 513-6000(503) 513-6002 Get Directions Write a Review

NPPES record last updated: November 8, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Clackamas Square Dental Group NPPES

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

CLACKAMAS SQUARE DENTAL GROUP (NPI 1336578418) is a healthcare organization registered as a general practice in Happy Valley, Oregon and active in the NPI registry since November 2013. The organization lists Richard Ashton, Owner, as its authorized official.

NPPES Registry Identity

NPI1336578418
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCLACKAMAS SQUARE DENTAL GROUP, PC
Location Address11398 SE 82ND AVE, SUITE 802Happy Valley, OR 97086-7637
Mailing Address17000 Red Hill AveIrvine, CA 92614-5626 · (714) 845-8657 · Fax (949) 474-1495
Phone(503) 513-6000
Fax(503) 513-6002
Organization SubpartNo
Authorized OfficialRichard AshtonOwner · (503) 513-6000
Enumeration DateNovember 8, 2013
✔ NPI 1336578418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
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.
11398 SE 82ND AVE, Happy Valley, OR 97086
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Other Names 1

Doing Business AsClackamas Square Dental Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

SYLVIA G JIMENEZ DDS
Dentist (General Practice)
11398 SE 82ND AVE, STE 802
CLACKAMAS, OR 97086
Clackamas County (503) 513-6000
DR. RICHARD JUSTIN TOOKE D.M.D.
Dentist (General Practice)
11398 SE 82ND AVE
HAPPY VALLEY, OR 97086
Clackamas County (503) 231-8228
DR. HARRIS PHUONG HONG TRAN D.D.S.
Dentist
11398 SE 82ND AVE, STE 802
PORTLAND, OR 97086
Clackamas County (503) 513-6000
PHUONG TAN MY NGUYEN
Dental Hygienist
11398 SE 82ND AVE
HAPPY VALLEY, OR 97086
Clackamas County (503) 231-8228

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 Clackamas Square Dental Group, PC's NPI number?

The NPI number for Clackamas Square Dental Group, PC is 1336578418. It was assigned to this organization in the NPPES registry on November 8, 2013. The provider is doing business as Clackamas Square Dental Group.

Where is Clackamas Square Dental Group, PC located?

Clackamas Square Dental Group, PC is located at 11398 SE 82nd Ave Suite 802, Happy Valley, OR 97086. The listed phone number is (503) 513-6000.

What is Clackamas Square Dental Group, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Clackamas Square Dental Group, PC was last updated on November 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.