Sunnybrook Family Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D7195 Issued in OR

Legal business name

SUNNYBROOK FAMILY DENTAL LLC

Practice address

11411 SE Sunnyside Rd, Suite 102
Happy Valley, OR 97086

Phone

(503) 427-0427

Fax

(503) 427-2782

NPI assigned

May 14, 2007

Last updated

Sep 29, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Diem Q. Nguyen, D.M.D

Title

Owner

Phone

(503) 427-0427

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Quynh Diem Nguyen, DMD

  • Dentist
  • Clackamas, OR
  • NPI 1376541433
  NPD (past)

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443484800000",
    "number": "1821203522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11411 SE SUNNYSIDE RD, SUITE 102",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "97086",
            "telephone_number": "503-427-0427",
            "fax_number": "503-427-2782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11411 SE SUNNYSIDE RD, SUITE 102",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "97086",
            "telephone_number": "503-427-0427",
            "fax_number": "503-427-2782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNYBROOK FAMILY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2015-09-29",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "DIEM",
        "authorized_official_middle_name": "Q.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-427-0427",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D7195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Stockbower, M.D.
• Lindsey Strasburg
• Petrina Suk, DMD
• Summit Psychology Associates LLC
• Claire Sumner
• Sunnyside Collaborative Care
• Sunrise Corporate Services, LLC
• Steven Sunseri, DPT
• Surgery Center of Mt. Scott, LLC
• Sustainable Vision LLC (Portland Eye Care)

• General Practice Dentistry in Happy Valley, OR
• Providers in Happy Valley, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; 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.