BROOKSIDE DENTAL-CANBY, LLC
NPI 1720718653
Clinic/Center - Dental in Canby, OR

Active since June 14, 2022
1514 SE 3RD CT, CANBY, OR 97013(503) 266-2033(503) 468-5925 Get Directions Write a Review

NPPES record last updated: June 14, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Brookside Dental-canby, Llc NPPES

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

BROOKSIDE DENTAL-CANBY, LLC (NPI 1720718653), doing business as Brookside Dental-clackamas, is a healthcare organization registered as a dental in Canby, Oregon and active in the NPI registry since June 2022. The organization lists Debbie Lopez, Regional Manager, as its authorized official.

NPPES Registry Identity

NPI1720718653
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameBROOKSIDE DENTAL-CANBY, LLC
Location Address1514 SE 3RD CTCanby, OR 97013-4560
Mailing Address22400 Salamo Rd Ste 102West Linn, OR 97068-8269 · (503) 723-8722
Fax(503) 468-5925
Organization SubpartNo
Authorized OfficialDebbie LopezRegional Manager · (503) 914-8221
Enumeration DateJune 14, 2022
NPPES CertifiedJune 10, 2022
NPI 1720718653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
1514 SE 3RD CT, Canby, OR 97013

Other Names 2

Doing Business AsBrookside Dental-clackamas
Doing Business AsPerman Family & Cosmetic Dentistry

Other Identifiers 1

Other1376532291OR · Npi Type 1

Other Providers at the Same Location NPPES 2

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

Clinic/Center (Dental)
1514 SE 3RD CT
CANBY, OR 97013
Dentist
1514 SE 3RD CT
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 Brookside Dental-Canby, LLC's NPI number?

The NPI number for Brookside Dental-Canby, LLC is 1720718653. It was assigned to this organization in the NPPES registry on June 14, 2022. The provider is doing business as Brookside Dental-Clackamas and Perman Family & Cosmetic Dentistry.

Where is Brookside Dental-Canby, LLC located?

Brookside Dental-Canby, LLC is located at 1514 SE 3rd Ct, Canby, OR 97013. The listed phone number is (503) 266-2033.

What is Brookside Dental-Canby, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Brookside Dental-Canby, LLC was last updated on June 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.