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BROOKE HIKADE WYATT, DMD, LLC
NPI 1548954381
Dentist - General Practice in Clackamas, OR

Active since June 05, 2023
14210 SE SUNNYSIDE RD STE 200, CLACKAMAS, OR 97015(503) 558-9828(503) 558-9829 Get Directions Write a Review

NPPES record last updated: June 5, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Brooke Hikade Wyatt, Dmd, Llc NPPES

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

BROOKE HIKADE WYATT, DMD, LLC (NPI 1548954381), doing business as Sunnyside Dentistry, is a healthcare organization registered as a general practice in Clackamas, Oregon and active in the NPI registry since June 2023. The organization lists Jeanna Ruiloba, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1548954381
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBROOKE HIKADE WYATT, DMD, LLC
Location Address14210 SE SUNNYSIDE RD STE 200Clackamas, OR 97015-5242
Mailing Address14210 Se Sunnyside Rd Ste 200Clackamas, OR 97015-5242 · (503) 558-9828 · Fax (503) 558-9829
Phone(503) 558-9828
Fax(503) 558-9829
Organization SubpartYes
Authorized OfficialJeanna RuilobaOffice Manager · (503) 558-9828
Enumeration DateJune 5, 2023
NPPES CertifiedJune 5, 2023
✔ NPI 1548954381 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.
14210 SE SUNNYSIDE RD STE 200, Clackamas, OR 97015
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Other Names 1

Doing Business AsSunnyside Dentistry

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 2

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

CHAD CASEBEER DMD
Dentist (General Practice)
14210 SE SUNNYSIDE RD STE 200
CLACKAMAS, OR 97015
Clackamas County (503) 451-5104
WYATT & CASEBEER DENTAL LLC
Clinic/Center (Dental)
14210 SE SUNNYSIDE RD STE 200
CLACKAMAS, OR 97015
Clackamas County (503) 541-5104

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 Brooke Hikade Wyatt, Dmd, LLC's NPI number?

The NPI number for Brooke Hikade Wyatt, Dmd, LLC is 1548954381. It was assigned to this organization in the NPPES registry on June 5, 2023. The provider is doing business as Sunnyside Dentistry.

Where is Brooke Hikade Wyatt, Dmd, LLC located?

Brooke Hikade Wyatt, Dmd, LLC is located at 14210 SE Sunnyside Rd Ste 200, Clackamas, OR 97015. The listed phone number is (503) 558-9828.

What is Brooke Hikade Wyatt, Dmd, LLC'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 Brooke Hikade Wyatt, Dmd, LLC was last updated on June 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.