Organization
DR. SUESS FAMILY DENTAL PC
Active
Other names
Clackamas Smiles Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMY C SUESS DDS (PRESIDENT)
(503) 786-3000
Entity
Organization
Contact information
Practice address
10001 SE SUNNYSIDE RD, STE 250, CLACKAMAS, OR 97015-5746
(503) 786-3000
(503) 786-3501
Mailing address
10001 SE SUNNYSIDE RD, STE 250, CLACKAMAS, OR 97015-5746
(503) 786-3000
(503) 786-3501
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D9491
OR
Other
Enumeration date
05/10/2016
Last updated
05/10/2016
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