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

Family Dental Clinic

Organization Dentist · NPI 1629487897

Family Dental Clinic is a Dentist in Prineville, Oregon. Licensed in Oregon. Registered with an NPI since 2014.

Licensed in
OR
In the registry since
2014

Practice location Address checks out

607 NE 3rd St
Prineville, OR 97754-2021
Phone: (541) 447-3855
Fax: (541) 416-9580
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D10117 (OR)

Record details

NPI number1629487897
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Petersen — Owner/Dentist · (541) 447-3855
NPI enumeratedAugust 12, 2014
Last updated in NPPESAugust 12, 2014
Mailing address607 Ne 3rd St, Prineville, OR 97754-2021

Other providers in Prineville