Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EASTSIDE DENTAL CLINIC
Deactivated OrganizationEASTSIDE DENTAL CLINIC is a General Dentistry organization located in TROUTDALE, Oregon. NPI 1689675167 is deactivated in the NPPES registry. Verify at CMS.
General Dentistry · TROUTDALE, OR
This NPI has been deactivated.
The record was deactivated on January 3, 2007.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1689675167
- Provider Type
- Organization
- NPI Issued
- Aug 9, 2005 (1.4027397260274 yrs)
- Last Updated
- Jul 21, 2022
- Deactivated
- Jan 3, 2007
Practice Information
- Address
-
1540 SW 257TH AVETROUTDALE, OR, 970607412Browse OR providers · Browse ZIP 97060
- Phone
- 5036652177
- Fax
- 5036667130
- Primary Specialty
-
General Dentistry
1223G0001X
- Additional Specialty
- General Dentistry
Other General Dentistry Organizations in TROUTDALE, OR
| Name | NPI |
|---|---|
| MODERN FAMILY DENTAL OF TROUTDALE, LLC | 1285842385 |
| TROUTDALE DENTAL LLC | 1518332923 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.