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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DUSTIN MICHAEL DAVIS, D.D.S.

Active

DUSTIN MICHAEL DAVIS, D.D.S. is a Pediatric Dentistry healthcare provider located in CLACKAMAS, Oregon. NPI 1063787497 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · CLACKAMAS, OR

Registration Details

NPI Number
1063787497
Provider Type
Individual
Gender
Male
NPI Issued
Mar 19, 2012 (14.422921207669 yrs)
Last Updated
Jun 30, 2021
Licenses
DEN.00202313 (CO)
DE60650351 (WA)
D11447 (OR)
019029333 (IL)

Practice Information

Address
11411 SE SUNNYSIDE RD STE 101
CLACKAMAS, OR, 970159356
Browse OR providers · Browse ZIP 97015
Phone
5038555100
Primary Specialty
Pediatric Dentistry
1223P0221X
Additional Specialty
Pediatric Dentistry
Additional Specialty
Pediatric Dentistry
Additional Specialty
Dentist

Other Pediatric Dentistry Providers in CLACKAMAS, OR

Name Credential NPI
DR. TODD M YOUNG DDS 1841299377
DR. DAVID EDWARD DOYLE JR. DDS 1144213133
MARY BETH AUBREY 1578683744
KARLI INGLIS DDS 1356722219
DR. KASEY HALL DMD 1154851681
JOY M IMHOLT 1023999281
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.