HOLLY STREET DENTAL, LLC
NPI 1669717393
Dentist in Canby, OR

Active since December 06, 2012
300 N HOLLY ST, CANBY, OR 97013(503) 266-1117 Get Directions Write a Review

NPPES record last updated: December 6, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Holly Street Dental, Llc NPPES

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

HOLLY STREET DENTAL, LLC (NPI 1669717393) is a healthcare organization registered as a dentist in Canby, Oregon and active in the NPI registry since December 2012. The organization lists C Steven Hagler, Dentist, as its authorized official.

NPPES Registry Identity

NPI1669717393
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameHOLLY STREET DENTAL, LLC
Location Address300 N HOLLY STCanby, OR 97013-3739
Mailing Address300 N Holly StCanby, OR 97013-3739 · (503) 266-1117
Organization SubpartNo
Authorized OfficialC Steven HaglerDentist · (503) 266-1117
Enumeration DateDecember 6, 2012
NPI 1669717393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
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.
300 N HOLLY ST, Canby, OR 97013

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 4

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

Dentist
300 N HOLLY ST
CANBY, OR 97013
Dentist (General Practice)
300 N HOLLY ST
CANBY, OR 97013
Dentist (General Practice)
300 N HOLLY ST
CANBY, OR 97013
Dentist (General Practice)
300 N HOLLY ST
CANBY, OR 97013

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 Holly Street Dental, LLC's NPI number?

The NPI number for Holly Street Dental, LLC is 1669717393. It was assigned to this organization in the NPPES registry on December 6, 2012.

Where is Holly Street Dental, LLC located?

Holly Street Dental, LLC is located at 300 N Holly St, Canby, OR 97013. The listed phone number is (503) 266-1117.

What is Holly Street Dental, LLC'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 Holly Street Dental, LLC was last updated on December 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.