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BROOKSIDE DENTAL - CLACKAMAS
NPI 1649635384
Dentist - General Practice in Clackamas, OR

Active since December 23, 2015
9225 SE SUNNYSIDE RD. STE 1, CLACKAMAS, OR 97015(503) 905-3380(503) 200-1444 Get Directions Write a Review

NPPES record last updated: March 19, 2018. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 19, 2018, Dec 23, 2015 (2 updates tracked since 2015).

About Brookside Dental - Clackamas NPPES

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

BROOKSIDE DENTAL - CLACKAMAS (NPI 1649635384) is a healthcare organization registered as a general practice in Clackamas, Oregon and active in the NPI registry since December 2015. The organization lists Robert J Kowal, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1649635384
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBROOKSIDE DENTAL - MILWAUKIE, LLC
Location Address9225 SE SUNNYSIDE RD. STE 1Clackamas, OR 97015
Mailing Address9225 Se Sunnyside Rd. Ste 1Clackamas, OR 97015 · (503) 905-3380 · Fax (503) 200-1444
Phone(503) 905-3380
Fax(503) 200-1444
Organization SubpartNo
Authorized OfficialRobert J KowalOwner/dentist · (503) 905-3380
Enumeration DateDecember 23, 2015
Last NPPES UpdateMarch 19, 20182 updates tracked since enumeration
✔ NPI 1649635384 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.
9225 SE SUNNYSIDE RD. STE 1, Clackamas, OR 97015
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Other Names 1

Doing Business AsBrookside Dental - Clackamas

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

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 Brookside Dental - Milwaukie, LLC's NPI number?

The NPI number for Brookside Dental - Milwaukie, LLC is 1649635384. It was assigned to this organization in the NPPES registry on December 23, 2015. The provider is doing business as Brookside Dental - Clackamas.

Where is Brookside Dental - Milwaukie, LLC located?

Brookside Dental - Milwaukie, LLC is located at 9225 SE Sunnyside Rd. Ste 1, Clackamas, OR 97015. The listed phone number is (503) 905-3380.

What is Brookside Dental - Milwaukie, 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 Brookside Dental - Milwaukie, LLC was last updated on March 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.