# CLOVER PEDIATRIC DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003599689
- **Authorized official:** DR. BENJAMIN JAMES DDS (OWNER/DENTIST)
- **Authorized official phone:** (541) 666-6091

## Contact information

- **Practice address:** 2225 MISSION ST SE STE 150, SALEM, OR 97302-1296
- **Practice address phone:** (541) 990-0363
- **Mailing address:** 2235 MISSION ST SE STE 250, SALEM, OR 97302-1294
- **Mailing address phone:** (541) 990-0363

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | — | NULL | Yes |
| 1223P0221X | Pediatric Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 08/09/2023
- **Last updated:** 05/30/2024