Dentist Providers In Clackamas, Oregon

Search Dentist NPI records in Clackamas, OR

Search or browse through the NPI records of dentist registered healthcare providers with a business address in Clackamas, OR. The listings include accepted insurance information, Medicare acceptance status, and PECOS enrollment data. The total number of NPI records is 71, of which 17 are registered as organizations and 54 as individuals. A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

76% Individuals

24% Organizations

20% Female

56% Male

76% Individual Providers (54)24% Medical Organizations (17)20% Female Providers (14)56% Male Providers (40)

Map of Providers

We have mapped the Dentist providers in Clackamas, OR to visually represent the practice location of each individual or organization. Click on any of the the pins to see the provider details at that location.

List of Providers

Table of Dentist NPI Profiles in Clackamas, OR
NPI	Name	Address	Insurance	Medicare	PECOS
1023222643	YOUNG KIDZ DENTAL (Organization)	14210 SE SUNNYSIDE RD STE 100 CLACKAMAS, OR 97015 (503) 658-3384	Delta Dental Plan of Oregon	Non-Participating Provider	NO
1033188297	MICHAEL ALLAN BROWN (Individual)	12014 SE SUNNYSIDE RD CLACKAMAS, OR 97015 (503) 698-6900	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana UnitedHealthcare	Non-Participating Provider	NO
1053322099	DAVID KENNETH WALKER (Individual)	10209 SE SUNNYSIDE RD CLACKAMAS, OR 97015 (503) 353-3900		Non-Participating Provider	YES
1063787497	DUSTIN MICHAEL DAVIS (Individual)	11411 SE SUNNYSIDE RD STE 101 CLACKAMAS, OR 97015 (503) 855-5100	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas BridgeSpan Health Company Delta Dental Plan of Oregon Dominion National Humana Paramount Paramount Dental Regence BlueCross BlueShield of Oregon Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1104156959	SUNNYSIDE DENTISTRY FOR CHILDREN, P.C. (Organization)	11411 SE SUNNYSIDE RD SUITE 101 CLACKAMAS, OR 97015 (503) 855-5100		Non-Participating Provider	NO
1124756788	GRANT ALEXANDER (Individual)	16144 SE HAPPY VALLEY TOWN CENTER DR CLACKAMAS, OR 97086 (503) 667-2400	BridgeSpan Health Company Regence BlueCross BlueShield of Oregon	Non-Participating Provider	NO
1144213133	DAVID EDWARD DOYLE (Individual)	10121 SE SUNNYSIDE RD SUITE 320 CLACKAMAS, OR 97015 (503) 786-5080	PacificSource Health Plans	Non-Participating Provider	YES
1154851681	KASEY HALL (Individual)	14210 SE SUNNYSIDE RD STE 100 CLACKAMAS, OR 97015 (503) 658-3384	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental Plan of Oregon Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1194003343	DANIEL MILLER (Individual)	10163 SE SUNNYSIDE RD SUITE 414 CLACKAMAS, OR 97015 (503) 653-4079	BridgeSpan Health Company Regence BlueCross BlueShield of Oregon	Non-Participating Provider	NO
1194404954	CHAD CASEBEER (Individual)	14210 SE SUNNYSIDE RD STE 200 CLACKAMAS, OR 97015 (503) 451-5104		Opted out of Medicare	NO
1194766048	AZIZ JOHN KARAM (Individual)	13652 SE TARALON DR CLACKAMAS, OR 97015 (503) 757-8534	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	NO
1205094927	JASJOT MANN (Individual)	10001 SE SUNNYSIDE RD SUITE 250 CLACKAMAS, OR 97015 (503) 786-3000		Non-Participating Provider	NO
1205837135	ROSS HOWARD HOEVET (Individual)	13520 SE 97TH AVE CLACKAMAS, OR 97015 (503) 652-2689	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas BridgeSpan Health Company Delta Dental Plan of Oregon Florida Combined Life Humana Paramount Paramount Dental Regence BlueCross BlueShield of Oregon UnitedHealthcare	Non-Participating Provider	NO
1205938016	JOSHUA ROBERT OPPERMAN (Individual)	13023 SE 84TH AVE STE A CLACKAMAS, OR 97015 (503) 353-9992	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas BridgeSpan Health Company PacificSource Health Plans Regence BlueCross BlueShield of Oregon	Non-Participating Provider	YES
1225020548	MARK NOBLE FRED REAKSECKER (Individual)	15230 SE 82ND DR CLACKAMAS, OR 97015 (503) 655-9000	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1275535460	RICHARD JOHN SUTTER (Individual)	14210 SE SUNNYSIDE RD STE 300 CLACKAMAS, OR 97015 (503) 558-0410		Non-Participating Provider	NO
1285618470	DENTAL DOC PC HAPPY VALLEY DENTAL CARE (Organization)	11808 SE SUNNYSIDE RD CLACKAMAS, OR 97015 (503) 698-1112		Non-Participating Provider	NO
1306009881	KELLY ANN DEZURA (Individual)	10181 SE SUNNYSIDE RD OTOLARYNGOLOGY (ENT) CLACKAMAS, OR 97015 (510) 571-4727		Non-Participating Provider	YES
1306024880	AVENUE DENTAL CARE (Organization)	10001 SE SUNNYSIDE RD SUITE 250 CLACKAMAS, OR 97015 (503) 786-3000	Premera Blue Cross Blue Shield of Alaska	Non-Participating Provider	NO
1356722219	KARLI INGLIS (Individual)	10209 SE SUNNYSIDE RD CLACKAMAS, OR 97015 (503) 353-3900		Non-Participating Provider	NO
1366564825	SYLVIA G JIMENEZ (Individual)	11398 SE 82ND AVE STE 802 CLACKAMAS, OR 97086 (503) 513-6000	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas BridgeSpan Health Company Delta Dental Plan of Oregon Dentegra Insurance Company Dominion National Florida Combined Life Humana PacificSource Health Plans Paramount Paramount Dental Regence BlueCross BlueShield of Oregon Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1366972671	GEMMA MODELL HILL (Individual)	14210 SE SUNNYSIDE RD STE 300 CLACKAMAS, OR 97015 (503) 659-5000	Delta Dental Plan of Oregon Guardian	Non-Participating Provider	NO
1376541433	QUYNH DIEM NGUYEN (Individual)	12845 SE 93RD AVE CLACKAMAS, OR 97015 (503) 794-1900	BridgeSpan Health Company Delta Dental Plan of Oregon Regence BlueCross BlueShield of Oregon	Non-Participating Provider	NO
1376654905	ROBERT HEIST (Individual)	9775 SE SUNNYSIDE RD 200 CLACKAMAS, OR 97015 (503) 655-8471	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	YES
1376751479	MODERN FAMILY DENTAL, P.C. (Organization)	12340 SE SUNNYSIDE RD CLACKAMAS, OR 97015 (503) 698-5525	Delta Dental Plan of Oregon UnitedHealthcare	Non-Participating Provider	NO
1376800508	LANCE DON BAILEY DOWNTOWN DENTAL CARE (Organization)	10001 SE SUNNYSIDE RD STE 250 CLACKAMAS, OR 97015 (503) 786-3000		Non-Participating Provider	NO
1386633527	RICHARD J HIKADE (Individual)	14210 SE SUNNYSIDE RD #200 CLACKAMAS, OR 97015 (503) 558-9828		Opted out of Medicare	YES
1407847254	CHAD WONG (Individual)	12845 SE 93RD AVE CLACKAMAS, OR 97015 (503) 794-1900	BridgeSpan Health Company Delta Dental Plan of Oregon Regence BlueCross BlueShield of Oregon	Non-Participating Provider	NO
1427028281	ROBERT DONALD GREW (Individual)	10163 SE SUNNYSIDE RD SUITE 414 CLACKAMAS, OR 97015 (503) 653-4079		Non-Participating Provider	NO
1467837831	THOMAS JARED HOUGHTON (Individual)	13023 SE 84TH AVE STE A CLACKAMAS, OR 97015 (503) 353-9992	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas BridgeSpan Health Company Delta Dental Plan of Oregon Dentegra Insurance Company Dominion National Florida Combined Life Humana PacificSource Health Plans Paramount Paramount Dental Regence BlueCross BlueShield of Oregon Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1518564988	BEATRIX ZENGER (Individual)	15230 SE 82ND DR CLACKAMAS, OR 97015 (503) 655-9000	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas BridgeSpan Health Company Delta Dental Plan of Oregon Dominion National Florida Combined Life Humana Paramount Paramount Dental Regence BlueCross BlueShield of Oregon UnitedHealthcare	Non-Participating Provider	NO
1528171923	GRAHAM DOUGLAS SHEA (Individual)	10209 SE SUNNYSIDE RD CLACKAMAS, OR 97015 (503) 353-3900		Non-Participating Provider	YES
1528441524	FRANCIS HAIK (Individual)	12845 SE 93RD AVE CLACKAMAS, OR 97015 (971) 258-2899	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Michigan Mutual Insurance Company Delta Dental of Michigan DentaTrust/DentaSpan Dominion National Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1548954381	BROOKE HIKADE WYATT, DMD, LLC (Organization)	14210 SE SUNNYSIDE RD STE 200 CLACKAMAS, OR 97015 (503) 558-9828		Non-Participating Provider	NO
1578683744	MARY BETH AUBREY (Individual)	10209 SE SUNNYSIDE RD CLACKAMAS, OR 97015 (503) 353-3900		Non-Participating Provider	NO
1588674964	MATTHEW RALPH BAUMGARTH (Individual)	10365 SE SUNNYSIDE RD STE 260 CLACKAMAS, OR 97015 (503) 698-4484	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	NO
1588677074	CHARLES GILBERT ROW (Individual)	10209 SE SUNNYSIDE RD CLACKAMAS, OR 97015 (503) 353-3900		Non-Participating Provider	YES
1588813992	JUSTIN RYAN GOODMAN (Individual)	13023 SE 84TH AVE STE A CLACKAMAS, OR 97015 (503) 353-9992	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas BridgeSpan Health Company Dentegra Insurance Company Dominion National Florida Combined Life Humana PacificSource Health Plans Paramount Paramount Dental Regence BlueCross BlueShield of Oregon Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1619429842	KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST CLACKAMAS DENTAL OFFICE (Organization)	10209 SE SUNNYSIDE RD CLACKAMAS, OR 97015 (800) 813-2000		Non-Participating Provider	NO
1629268966	BRETT MICHAEL SULLIVAN (Individual)	11211 SE SUNNYSIDE RD CLACKAMAS, OR 97015 (503) 652-8080	PacificSource Health Plans	Opted out of Medicare	YES
1649436999	JUSTIN D GONZALES (Individual)	9775 SE SUNNYSIDE RD SUITE 200 CLACKAMAS, OR 97015 (503) 655-8471	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas BridgeSpan Health Company Dentegra Insurance Company Florida Combined Life Humana PacificSource Health Plans Regence BlueCross BlueShield of Oregon UnitedHealthcare	Non-Participating Provider	YES
1649635384	BROOKSIDE DENTAL - MILWAUKIE, LLC BROOKSIDE DENTAL - CLACKAMAS (Organization)	9225 SE SUNNYSIDE RD. STE 1 CLACKAMAS, OR 97015 (503) 905-3380		Non-Participating Provider	NO
1669479416	DAVID W COMPTON (Individual)	10163 SE SUNNYSIDE RD SUITE 450 CLACKAMAS, OR 97015 (503) 652-2615		Non-Participating Provider	NO
1669491379	JOHN NEAL ALLEN (Individual)	10209 SE SUNNYSIDE RD CLACKAMAS, OR 97015 (503) 353-3906		Non-Participating Provider	YES
1669649901	SANDRA MARIA IACOB (Individual)	11808 SE SUNNYSIDE RD CLACKAMAS, OR 97015 (503) 698-1112	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	NO
1689025975	YIZHOU ZHU (Individual)	13023 SE 84TH AVE STE A CLACKAMAS, OR 97015 (503) 353-9992	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas BridgeSpan Health Company Dental Health Services Humana Paramount Paramount Dental Regence BlueCross BlueShield of Oregon Renaissance Dental	Non-Participating Provider	NO
1699027672	CLACKAMAS TOWN DENTAL, LLC (Organization)	9225 SE SUNNYSIDE ROAD CLACKAMAS, OR 97086 (503) 905-3380		Non-Participating Provider	NO
1700291572	NATHAN LEE (Individual)	12340 SE SUNNYSIDE RD CLACKAMAS, OR 97015 (503) 698-5525	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas BridgeSpan Health Company Delta Dental Plan of Oregon Florida Combined Life Humana Regence BlueCross BlueShield of Oregon UnitedHealthcare	Non-Participating Provider	NO
1700313871	CLIFFORD DANIEL HEABERLIN (Individual)	9775 SE SUNNYSIDE RD STE 200 CLACKAMAS, OR 97015 (503) 655-8471		Non-Participating Provider	YES
1710106125	SANDHYA SUSNJARA (Individual)	12000 SE 82ND AVE STE 1145 CLACKAMAS, OR 97086 (503) 653-9870		Non-Participating Provider	NO
1710295407	LEE GHORBANIAN I LTD SUNRISE DENTAL OF CLACKAMAS (Organization)	12100 SE STEVENS CT SUITE 102 CLACKAMAS, OR 97086 (503) 644-1126		Non-Participating Provider	NO
1740683465	82ND DRIVE DENTAL CLINIC (Organization)	15480 SE 82ND DR CLACKAMAS, OR 97015 (503) 655-7250		Non-Participating Provider	NO
1750613519	MICHAEL A BROWN, DMD, PC (Organization)	12014 SE SUNNYSIDE RD CLACKAMAS, OR 97015 (503) 698-6900	UnitedHealthcare	Non-Participating Provider	NO
1801216130	ROBERT D. GREW DMD, INC. ROBERT D. GREW DMD (Organization)	10163 SE SUNNYSIDE ROAD SUITE 414 CLACKAMAS, OR 97015 (503) 653-4079		Non-Participating Provider	NO
1831989706	KASEY HALL, DMD, LLC (Organization)	14210 SE SUNNYSIDE RD STE 100 CLACKAMAS, OR 97015 (503) 658-3384		Non-Participating Provider	NO
1841282639	R. CLAIRE CAMPBELL (Individual)	13110 SE SUNNYSIDE RD SUITE A CLACKAMAS, OR 97015 (503) 698-4884		Non-Participating Provider	NO
1841299377	TODD M YOUNG (Individual)	14210 SE SUNNYSIDE RD CLACKAMAS, OR 97015 (503) 658-3384	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas BridgeSpan Health Company Delta Dental Plan of Oregon Dominion National Florida Combined Life Humana PacificSource Health Plans Paramount Paramount Dental Regence BlueCross BlueShield of Oregon	Non-Participating Provider	NO
1871510552	SUSAN SCHAUMBURG RESTIC (Individual)	10209 SE SUNNYSIDE RD CLACKAMAS, OR 97015 (503) 353-3900		Non-Participating Provider	YES
1871591594	RUSSELL C ERICKSON (Individual)	13530 SE 97TH AVE CLACKAMAS, OR 97015 (503) 353-1471		Non-Participating Provider	NO
1881941094	JEREMY C SUESS (Individual)	10001 SE SUNNYSIDE RD STE 250 CLACKAMAS, OR 97015 (503) 786-3000	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas BridgeSpan Health Company Delta Dental Plan of Oregon Humana PacificSource Health Plans Paramount Paramount Dental Regence BlueCross BlueShield of Oregon Renaissance Dental	Non-Participating Provider	YES
1891874467	JOHN L KRUMP (Individual)	9775 SE SUNNYSIDE RD SUITE 600 CLACKAMAS, OR 97015 (503) 652-8080		Non-Participating Provider	NO
1912301672	RYAN CARPENTER (Individual)	15480 SE 82ND DR CLACKAMAS, OR 97015 (503) 655-7250	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas BridgeSpan Health Company Delta Dental Plan of Oregon Dominion National Florida Combined Life Humana PacificSource Health Plans Paramount Paramount Dental Regence BlueCross BlueShield of Oregon UnitedHealthcare	Non-Participating Provider	YES
1912557117	JESSICA ELAINE SHELNUTT (Individual)	10209 SE SUNNYSIDE RD CLACKAMAS, OR 97015 (503) 353-3905		Non-Participating Provider	NO
1932214806	KENT D LEE (Individual)	12016 SE SUNNYSIDE RD CLACKAMAS, OR 97015 (503) 698-2725		Non-Participating Provider	NO
1952575433	KING ROAD FAMILY DENTISTRY ROSS HOEVET DMD (Organization)	13520 SE 97TH AVE CLACKAMAS, OR 97015 (503) 652-2689	Delta Dental Plan of Oregon UnitedHealthcare	Non-Participating Provider	NO
1972283794	DAVID AN LUC (Individual)	11211 SE 82ND AVE STE H CLACKAMAS, OR 97086 (971) 338-4899	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas BridgeSpan Health Company Dental Health Services Dentegra Insurance Company Dominion National Florida Combined Life Humana Paramount Paramount Dental Regence BlueCross BlueShield of Oregon Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1972615938	ANDREW ARTHUR MOSCHOGIANIS (Individual)	10209 SE SUNNYSIDE RD CLACKAMAS, OR 97015 (503) 353-3900		Non-Participating Provider	NO
1972616357	JOHN A HILL (Individual)	10209 SE SUNNYSIDE RD CLACKAMAS, OR 97015 (503) 353-3900		Non-Participating Provider	YES
1982171708	NOELLE KLEMANN (Individual)	13110 SE SUNNYSIDE RD STE A CLACKAMAS, OR 97015 (503) 698-4884	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Dominion National Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1992099964	DAVID W. COMPTON, DMD, MS, PC (Organization)	10163 SE SUNNYSIDE RD SUITE 450 CLACKAMAS, OR 97015 (503) 652-2615		Non-Participating Provider	NO
1992724678	DOUGLAS KENT EDWARDS (Individual)	10209 SE SUNNYSIDE RD CLACKAMAS, OR 97015 (503) 353-3900		Non-Participating Provider	YES

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