OrganizationActive
Holly Street Dental, LLC
NPI 1669717393 · Dentist · Canby, OR
Holly Street Dental, LLC is a Dentist organization in Canby, OR (NPI 1669717393).
Provider details
- NPI number
- 1669717393
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- C Hagler, Dentist(503) 266-1117
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
300 N Holly St
Canby, OR 97013-3739
Phone: (503) 266-1117
Street-level locationGet directions
Mailing address
300 N Holly St
Canby, OR 97013-3739
Registry dates
- Enumerated
- 2012-12-06
- Last updated
- 2012-12-06
Frequently asked questions
- What is Holly Street Dental, LLC's NPI number?
- Holly Street Dental, LLC's National Provider Identifier (NPI) is 1669717393, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Holly Street Dental, LLC?
- Holly Street Dental, LLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Holly Street Dental, LLC located?
- Holly Street Dental, LLC's practice location on file with NPPES is 300 N Holly St, Canby, OR 97013-3739.
- What is Holly Street Dental, LLC's phone number?
- The practice phone number listed in the NPPES registry for Holly Street Dental, LLC is (503) 266-1117.
- Who is the authorized official for Holly Street Dental, LLC?
- The authorized official listed on Holly Street Dental, LLC's NPPES record is C Hagler, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Holly Street Dental, LLC's NPI active?
- Yes — Holly Street Dental, LLC's NPI (1669717393) is active in the NPPES registry as of the last update on 2012-12-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.