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DUSTIN M. DAVIS, DDS, LLC
NPI 1518537646
Clinic/Center - Dental in Clackamas, OR

Active since June 30, 2021
11411 SE SUNNYSIDE RD, CLACKAMAS, OR 97015(503) 855-5100 Get Directions Write a Review

NPPES record last updated: June 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dustin M. Davis, Dds, Llc NPPES

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

DUSTIN M. DAVIS, DDS, LLC (NPI 1518537646), doing business as Sunnyside Dentistry For Children, is a healthcare organization registered as a dental in Clackamas, Oregon and active in the NPI registry since June 2021. The organization lists Dustin Davis, Pediatric Dentist/practice Owner, as its authorized official.

NPPES Registry Identity

NPI1518537646
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameDUSTIN M. DAVIS, DDS, LLC
Location Address11411 SE SUNNYSIDE RDClackamas, OR 97015-9356
Mailing Address11411 Se Sunnyside RdClackamas, OR 97015-9356 · (503) 855-5100
Phone(503) 855-5100
Organization SubpartNo
Authorized OfficialDustin DavisPediatric Dentist/practice Owner · (951) 526-5452
Enumeration DateJune 30, 2021
NPPES CertifiedJune 30, 2021
✔ NPI 1518537646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
11411 SE SUNNYSIDE RD, Clackamas, OR 97015
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Other Names 1

Doing Business AsSunnyside Dentistry For Children

Other Providers at the Same Location NPPES

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

SUNNYSIDE DENTISTRY FOR CHILDREN, P.C.
Dentist (Pediatric Dentistry)
11411 SE SUNNYSIDE RD, SUITE 101
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 Dustin M. Davis, Dds, LLC's NPI number?

The NPI number for Dustin M. Davis, Dds, LLC is 1518537646. It was assigned to this organization in the NPPES registry on June 30, 2021. The provider is doing business as Sunnyside Dentistry for Children.

Where is Dustin M. Davis, Dds, LLC located?

Dustin M. Davis, Dds, LLC is located at 11411 SE Sunnyside Rd, Clackamas, OR 97015. The listed phone number is (503) 855-5100.

What is Dustin M. Davis, Dds, 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 Dustin M. Davis, Dds, LLC was last updated on June 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.