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Dustin Michael Davis

Dentist Pediatric Dentist

11411 Se Sunnyside Rd Ste 101
Clackamas , Oregon 97015-9356

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Dustin Michael Davis

Dentist Pediatric Dentist

11411 Se Sunnyside Rd Ste 101
Clackamas , Oregon 97015-9356

(951) 526-5452

Write a Review Save Call

Dustin Michael Davis

Dentist Pediatric Dentist

11411 Se Sunnyside Rd Ste 101
Clackamas , Oregon 97015-9356

(951) 526-5452 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Dentist
  • Pediatric Dentist

Languages spoken

  • English

Location

11411 Se Sunnyside Rd Ste 101 Clackamas , Oregon 97015-9356

First Address

  • Dustin Michael Davis
  • 11411 Se Sunnyside Rd Ste 101
  • Clackamas, OR
  • Zip : 97015-9356
  • Phone : (951) 526-5452

Second Address

  • Dustin Michael Davis
  • 11411 Se Sunnyside Rd Ste 101
  • Clackamas, OR
  • Zip : 97015-9356
  • Phone : (503) 855-5100

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FAQs


Where did Dustin Michael Davis attend graduate school?

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Where did Dustin Michael Davis do his residency?

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Where did Dustin Michael Davis do his fellowship?

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Is Dustin Michael Davis board certified?

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What type of doctor is Dustin Michael Davis

Pediatric Dentist

In what state does Dustin Michael Davis practice in?

Oregon

Where is Dustin Michael Davis ’s practice located?

11411 Se Sunnyside Rd Ste 101 , Clackamas, Oregon, 97015-9356

What is Dustin Michael Davis ’s gender?

Male

Is Dustin Michael Davis a sole practitioner?

No

Is Dustin Michael Davis accepting new patients?

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What languages does Dustin Michael Davis speak?

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Does Dustin Michael Davis accept insurance?

Yes, Dustin Michael Davis accepts insurance

Does Dustin Michael Davis offers telemedicine?

Dustin Michael Davis has not indicated if he offers telemedicine

What is Dustin Michael Davis ’s professional license number?

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What is Dustin Michael Davis ’s NPI number?

1063787497

Does Dustin Michael Davis have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 122300000X Dentist 019029333 IL
N 122300000X Dentist DEN.00202313 CO
Y 1223P0221X Pediatric Dentist D11447 OR
N 1223P0221X Pediatric Dentist DE60650351 WA

National Provider Identifier

NPI 1063787497
Provider Name Dustin Michael Davis
First Address Clackamas, OR 97015-9356
Second Address Clackamas, OR 97015-9356
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 19/03/2012
Last Update Date 30/06/2021

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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