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SERENITY DENTAL, LLC
NPI 1710735048
Dentist - General Practice in Wilsonville, OR

Active since May 10, 2024
29292 SW TOWN CENTER LOOP E STE B, WILSONVILLE, OR 97070(503) 974-0500(503) 974-0505 Get Directions Write a Review

NPPES record last updated: May 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Serenity Dental, Llc NPPES

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

SERENITY DENTAL, LLC (NPI 1710735048) is a healthcare organization registered as a general practice in Wilsonville, Oregon and active in the NPI registry since May 2024. The organization lists Thomas Clark, Dmd, as its authorized official.

NPPES Registry Identity

NPI1710735048
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSERENITY DENTAL, LLC
Location Address29292 SW TOWN CENTER LOOP E STE BWilsonville, OR 97070-9491
Mailing Address29292 Sw Town Center Loop E Ste BWilsonville, OR 97070-9491 · (503) 974-0500 · Fax (503) 974-0505
Phone(503) 974-0500
Fax(503) 974-0505
Organization SubpartNo
Authorized OfficialThomas ClarkDmd · (503) 974-0500
Enumeration DateMay 10, 2024
NPPES CertifiedMay 10, 2024
✔ NPI 1710735048 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.
29292 SW TOWN CENTER LOOP E STE B, Wilsonville, OR 97070
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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

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

MRS. DANNA LYNN HARTUNG MASSAGE THERAPIST
Massage Therapist
29292 SW TOWN CENTER LOOP E STE B
WILSONVILLE, OR 97070
Clackamas County (503) 582-9200

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 Serenity Dental, LLC's NPI number?

The NPI number for Serenity Dental, LLC is 1710735048. It was assigned to this organization in the NPPES registry on May 10, 2024.

Where is Serenity Dental, LLC located?

Serenity Dental, LLC is located at 29292 SW Town Center Loop E Ste B, Wilsonville, OR 97070. The listed phone number is (503) 974-0500.

What is Serenity Dental, 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 Serenity Dental, LLC was last updated on May 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.