NPI

Brookside Dental-Canby, Llc

This page is a copy of the public NPPES file.

Facts

Status
Active
Type
Organization
Enumeration date
2022-06-14
Last updated
2022-06-14

Specialties

Licenses

The registry row did not include a license.

Location

Practice location
1514 Se 3rd Ct
City
Canby OR
Postal code
97013-4560
Phone
(503) 266-2033

Organization contact

Name
DEBBIE LOPEZ
Title
Regional Manager
Phone
5039148221

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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