OrganizationActive
Brookside Dental-Canby, LLC
NPI 1720718653 · Dental Clinic/Center · Canby, OR
Provider details
- NPI number
- 1720718653
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Debbie Lopez, Regional Manager(503) 914-8221
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
1514 Se 3rd Ct
Canby, OR 97013-4560
Phone: (503) 266-2033
Fax: (503) 468-5925
Street-level locationGet directions
Mailing address
22400 Salamo Rd Ste 102
West Linn, OR 97068-8269
Other names (DBA / former)
- Doing business as
- Brookside Dental-Clackamas
- Doing business as
- Perman Family & Cosmetic Dentistry
Registry dates
- Enumerated
- 2022-06-14
- Last updated
- 2022-06-14
- Certified
- 2022-06-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.