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

DR. KEVIN WILLIAM ENSLEY, D.M.D.

Deactivated

DR. KEVIN WILLIAM ENSLEY, D.M.D. is a Orthodontics healthcare provider located in BEAVERTON, Oregon. NPI 1659370468 is deactivated in the NPPES registry. Verify at CMS.

Orthodontics · BEAVERTON, OR

This NPI has been deactivated. The record was deactivated on March 17, 2006. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1659370468
Provider Type
Individual
Gender
Male
NPI Issued
Jul 14, 2005 (0.67397260273973 yrs)
Last Updated
Jul 8, 2007
Deactivated
Mar 17, 2006
License
6565 (OR)

Practice Information

Address
3810 SW HALL BLVD
BEAVERTON, OR, 970052048
Browse OR providers · Browse ZIP 97005
Phone
5036439509
Fax
5036462886
Primary Specialty
Orthodontics
1223X0400X

Other Orthodontics Providers in BEAVERTON, OR

Name Credential NPI
DR. STEVEN W. BLACK DDS 1174530091
DR. MARK JAMES VANDUSEN DMD 1831253335
DR. ROY FRANKLIN DORNSIFE DMD 1093916777
DR. ERIC C BURGIN DDS 1821235839
DR. DHARMINI PATHMANATHAN DMD, PHD 1689988651
DR. JOHN F DELPLANCHE DMD, MS 1598044802
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.