OrganizationActive
Sunnyside Family Dentistry LLC
NPI 1174004220 · Dental Clinic/Center · Clackamas, OR
Provider details
- NPI number
- 1174004220
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Alyssa Williams, Office Manager(503) 752-7463
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11808 Se Sunnyside Rd
Clackamas, OR 97015-9308
Phone: (503) 698-1112
Fax: (971) 224-5027
Street-level locationGet directions
Mailing address
11808 Se Sunnyside Rd
Clackamas, OR 97015-9308
Registry dates
- Enumerated
- 2018-08-27
- Last updated
- 2018-08-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.