Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KELLY ANN DEZURA, D.M.D.
Active Sole ProprietorDR. KELLY ANN DEZURA, D.M.D. is a Oral & Maxillofacial Surgery healthcare provider located in CLACKAMAS, Oregon. NPI 1306009881 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · CLACKAMAS, OR
Registration Details
- NPI Number
- 1306009881
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 6, 2008 (18.077889985983 yrs)
- Last Updated
- Aug 28, 2013
- License
-
D9858 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10181 SE SUNNYSIDE RDOTOLARYNGOLOGY (ENT)CLACKAMAS, OR, 97015Browse OR providers · Browse ZIP 97015
- Phone
- 5105714727
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
Other Oral & Maxillofacial Surgery Providers in CLACKAMAS, OR
| Name | Credential | NPI |
|---|---|---|
| DR. JOHN L KRUMP | DDS | 1891874467 |
| BRETT MICHAEL SULLIVAN | D.M.D., M.D. | 1629268966 |
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.