NPI

Holly Street Dental, Llc

This page is a copy of the public NPPES file.

Facts

Status
Active
Type
Organization
Enumeration date
2012-12-06
Last updated
2012-12-06

Specialties

Licenses

The registry row did not include a license.

Location

Practice location
300 N Holly St
City
Canby OR
Postal code
97013-3739
Phone
(503) 266-1117

Organization contact

Name
C HAGLER
Title
Dentist
Phone
5032661117

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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Nearby

Other NPIs in Canby, OR. 387 records in the public file.

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