Mountainside Family Dentistry Llc

  • 1295080836 NPI Number
  • |
  • Actived: 11 years ago
  • |
Mountainside Family Dentistry Llc is a health care provider based in Portland, OR. The NPI Number is 1295080836 and it has been active since 11 years ago. The specialty is Dentist, providing comprehensive mental health services to individuals, families, and communities. If you are looking for Dentist services, Mountainside Family Dentistry Llc is an excellent option. We are here to help you get the care you need.

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Overview of Mountainside Family Dentistry Llc

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 07/19/2012
  • Last updated: 07/19/2012

Primary Scrop of Practice

  • Taxonomy Code: 122300000X
  • Specialty: Dentist
  • License Number: D8325
  • License State: OR

Provider Mailing Address

  • Address: 3740 Se 122nd Ave
    Portland, OR 97236
  • Phone: 503-762-2525
  • Fax: 503-762-4872

Provider Practice Location

  • Address: 3740 Se 122nd Ave
    Portland, OR 97236
  • Phone: 503-762-2525
  • Fax: 503-762-4872

Authorized Official

  • Name: DR. Derek W. Conklin DMD
  • Position/Title: Dentist/owner/ President
  • Telephone Number: 503-762-2525

Scope of Practice

  • Taxonomy Code: 122300000X
  • Specialty: Dentist
  • License Number: D8325
  • License State: OR
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 243185
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: OR
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Mountainside Family Dentistry Llc?
  • A: The npi number for Mountainside Family Dentistry Llc is 1295080836.
  • Q: What are Mountainside Family Dentistry Llc's specialties?
  • A: Mountainside Family Dentistry Llc's specialties are Dentist and different specialities.
  • Q: Where is Mountainside Family Dentistry Llc business practice location?
  • A: Mountainside Family Dentistry Llc business practice location is 3740 Se 122nd Ave, Portland, OR 97236.
  • Q: How to contact Mountainside Family Dentistry Llc?
  • A: You can contact Mountainside Family Dentistry Llc via 503-762-2525.
  • Q: What is the authorized official for Mountainside Family Dentistry Llc?
  • A: The authorized office name is DR. Derek W. Conklin DMD with position/title is Dentist/owner/ President and you can reach the authorized official via phone number 5037622525.
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