EASTSIDE DENTAL CLINIC
NPI 1689675167
Dentist - General Practice in Troutdale, OR

Active since August 09, 2005
1540 SW 257TH AVE, TROUTDALE, OR 97060(503) 665-2177(503) 666-7130 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About Eastside Dental Clinic NPPES

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

EASTSIDE DENTAL CLINIC (NPI 1689675167) is a healthcare organization registered as a general practice in Troutdale, Oregon and active in the NPI registry since August 2005. The organization lists John H Kilian, Dentist Owner, as its authorized official.

NPPES Registry Identity

NPI1689675167
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameEASTSIDE DENTAL CLINIC
Location Address1540 SW 257TH AVETroutdale, OR 97060-7412
Mailing AddressPo Box 700Troutdale, OR 97060-0700 · (503) 665-2177 · Fax (503) 666-7130
Fax(503) 666-7130
Organization SubpartNo
Authorized OfficialJohn H KilianDentist Owner · (503) 665-2177
Enumeration DateAugust 9, 2005
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1689675167 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.
1540 SW 257TH AVE, Troutdale, OR 97060

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Dentist (General Practice)
1540 SW 257TH AVE
TROUTDALE, OR 97060

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 Eastside Dental Clinic's NPI number?

The NPI number for Eastside Dental Clinic is 1689675167. It was assigned to this organization in the NPPES registry on August 9, 2005.

Where is Eastside Dental Clinic located?

Eastside Dental Clinic is located at 1540 SW 257th Ave, Troutdale, OR 97060. The listed phone number is (503) 665-2177.

What is Eastside Dental Clinic'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 Eastside Dental Clinic was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.