Clover Pediatric Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

CLOVER PEDIATRIC DENTISTRY

Practice address

2225 Mission St SE Ste 150
Salem, OR 97302-1296

Phone

(541) 990-0363

NPI assigned

Aug 9, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Benjamin James, DDS

Title

Owner/Dentist

Phone

(541) 666-6091

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1003599689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2235 MISSION ST SE STE 250",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973021294",
            "telephone_number": "541-990-0363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 MISSION ST SE STE 150",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973021296",
            "telephone_number": "541-990-0363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOVER PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-09",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "541-666-6091",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Joann Clinton, AU. D.
• Beth Renay Cloos, NP
• Robert Clore, CADC II, NCAC I
• Alyssa Close, MA, LPC
• Brian D Clothier, MD
• Cmcdonough Chiropractic, LLC
• CML Inc (Tierra Rose Care Center)
• Franklin Co
• Coaction, Inc. (Mid-Valley Pain Clinic)
• Nicole Marilyn Coalter, QMHP-R, CADC-R

• Pediatric Dentistry in Salem, OR
• Providers in Salem, OR by specialty
• Pediatric Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.