Dustin Michael Davis, D.D.S.

NPI #1063787497 in Clackamas, Oregon

Provider Information

NPI Number: 1063787497
Entity Type: Individual
Name: Dustin Michael Davis, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Mar 19, 2012
Last Updated: Jun 30, 2021

Practice Location

Address: 11411 SE SUNNYSIDE RD STE 101
City: Clackamas
State: Oregon
ZIP Code: 97015-9356
Phone: (503) 855-5100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary
Dentist - Pediatric Dentistry — Pediatric Dentistry	1223P0221X

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