Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BENJAMIN LIVELY, DDS
Active Sole ProprietorBENJAMIN LIVELY, DDS is a Dentist healthcare provider located in PORTLAND, Oregon. NPI 1891226569 is currently active in the NPPES registry. Verify at CMS.
Dentist · PORTLAND, OR
Registration Details
- NPI Number
- 1891226569
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 24, 2017 (9.3681038640134 yrs)
- Last Updated
- Jun 4, 2024
- License
-
D10603 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2730 S MOODY AVEPORTLAND, OR, 972015042Browse OR providers · Browse ZIP 97201
- Phone
- 2147266404
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| DR. MARK MUTSCHLER | DDS, MS | 1467455360 |
| DR. DENNIS CRANDALL NICOLA | D.D.S. | 1619974607 |
| DR. MARY E FISCHER | D.M.D. | 1184622276 |
| DR. ROBERT L RODRIGUEZ | D.M.D. | 1295733046 |
| DR. DANIEL L RODRIGUEZ | D.D.S. | 1083612816 |
| RICHARD D MERCER | D.M.D. | 1679572424 |
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.