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FAMILY DENTAL CLINIC
NPI 1629487897
Dentist in Prineville, OR

Active since August 12, 2014
607 NE 3RD ST, PRINEVILLE, OR 97754(541) 447-3855(541) 416-9580 Get Directions Write a Review

NPPES record last updated: August 12, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Family Dental Clinic NPPES

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

FAMILY DENTAL CLINIC (NPI 1629487897) is a healthcare organization registered as a dentist in Prineville, Oregon and active in the NPI registry since August 2014. The organization lists James G. Petersen, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1629487897
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameFAMILY DENTAL CLINIC
Location Address607 NE 3RD STPrineville, OR 97754-2021
Mailing Address607 Ne 3rd StPrineville, OR 97754-2021 · (541) 447-3855 · Fax (541) 416-9580
Phone(541) 447-3855
Fax(541) 416-9580
Organization SubpartNo
Authorized OfficialJames G. PetersenOwner/dentist · (541) 447-3855
Enumeration DateAugust 12, 2014
✔ NPI 1629487897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in OR · D10117
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
607 NE 3RD ST, Prineville, OR 97754
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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 3

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

CASCADE VIEW DENTISTRY, LLC
Dentist (General Practice)
607 NE 3RD ST
PRINEVILLE, OR 97754
Crook County (541) 447-3855
MR. JAMES G PETERSEN DMD,P.C.
Dentist (General Practice)
607 NE 3RD ST
PRINEVILLE, OR 97754
Crook County (541) 447-3855
CASCADE VIEW DENTISTRY, LLC
Dentist (General Practice)
607 NE 3RD ST
PRINEVILLE, OR 97754
Crook County (541) 447-3855

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 Family Dental Clinic's NPI number?

The NPI number for Family Dental Clinic is 1629487897. It was assigned to this organization in the NPPES registry on August 12, 2014.

Where is Family Dental Clinic located?

Family Dental Clinic is located at 607 NE 3rd St, Prineville, OR 97754. The listed phone number is (541) 447-3855.

What is Family Dental Clinic's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Family Dental Clinic was last updated on August 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.