Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eastern Oregon Dental Clinic LLC

Organization Dentist · NPI 1609043157

Eastern Oregon Dental Clinic LLC is a Dentist in Ontario, Oregon. Licensed in Oregon. Registered with an NPI since 2008.

Licensed in
OR
In the registry since
2008
Specialties on file
15
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

475 SW 12th St
Ontario, OR 97914-3201
Phone: (541) 881-1794
Fax: (541) 889-2904
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D6574 (OR)
Dentist Taxonomy 122300000X · Licence D9048 (OR)
Dentist Taxonomy 122300000X · Licence D6574 (OR)
Dentist Taxonomy 122300000X · Licence D7219 (OR)
Endodontics Taxonomy 1223E0200X · Licence D9048 (OR)
Endodontics Taxonomy 1223E0200X · Licence D6574 (OR)
Endodontics Taxonomy 1223E0200X · Licence D7219 (OR)
General Practice Dentistry Taxonomy 1223G0001X · Licence D9048 (OR)
General Practice Dentistry Taxonomy 1223G0001X · Licence D7219 (OR)
Periodontics Taxonomy 1223P0300X · Licence D6574 (OR)
Periodontics Taxonomy 1223P0300X · Licence D9048 (OR)
Periodontics Taxonomy 1223P0300X · Licence D7219 (OR)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence D9048 (OR)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence D6574 (OR)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence D7219 (OR)

Record details

NPI number1609043157
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eric Dahle — Member · (541) 881-1794
NPI enumeratedMay 14, 2008
Last updated in NPPESMay 14, 2008
Mailing address478 Sw 12th St, Ontario, OR 97914-3202

Other providers in Ontario