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82nd Drive Dental Clinic — NPI 1740683465, Clackamas, OR | NPI Central

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NPI 1740683465

OrganizationActive

82nd Drive Dental Clinic

NPI 1740683465 · Dentist · Clackamas, OR

Provider details

NPI number: 1740683465
Entity type: Organization
Primary specialty: DentistDental Providers
Organization subpart: No
Authorized official: Bradley Carpenter, Owner/ Dentist(503) 655-7250
License: D8618 (OR)

Specialties & taxonomies

DentistPrimary122300000XLicense D8618 (OR)
Dental Providers

Practice location

15480 Se 82nd Dr

Clackamas, OR 97015-9633

Phone: (503) 655-7250

Fax: (503) 650-6375

Approximate (ZIP-level) locationGet directions

More OR providers

Mailing address

Po Box 446

Clackamas, OR 97015-0446

Registry dates

Enumerated: 2014-10-08
Last updated: 2014-10-08

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.