OrganizationActive
Family Dental Clinic
NPI 1629487897 · Dentist · Prineville, OR
Family Dental Clinic is a Dentist organization in Prineville, OR (NPI 1629487897).
Provider details
- NPI number
- 1629487897
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- James Petersen, Owner/Dentist(541) 447-3855
- License
- D10117 (OR)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
607 Ne 3rd St
Prineville, OR 97754-2021
Phone: (541) 447-3855
Fax: (541) 416-9580
Street-level locationGet directions
Mailing address
607 Ne 3rd St
Prineville, OR 97754-2021
Registry dates
- Enumerated
- 2014-08-12
- Last updated
- 2014-08-12
Frequently asked questions
- What is Family Dental Clinic's NPI number?
- Family Dental Clinic's National Provider Identifier (NPI) is 1629487897, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Family Dental Clinic?
- Family Dental Clinic is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Family Dental Clinic located?
- Family Dental Clinic's practice location on file with NPPES is 607 Ne 3rd St, Prineville, OR 97754-2021.
- What is Family Dental Clinic's phone number?
- The practice phone number listed in the NPPES registry for Family Dental Clinic is (541) 447-3855.
- Who is the authorized official for Family Dental Clinic?
- The authorized official listed on Family Dental Clinic's NPPES record is James Petersen, Owner/Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Family Dental Clinic's NPI active?
- Yes — Family Dental Clinic's NPI (1629487897) is active in the NPPES registry as of the last update on 2014-08-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.