Daniel Petrisor, DMD, MD

NPI #1235332834 in Portland, Oregon

Provider Information

NPI Number: 1235332834
Entity Type: Individual
Name: Daniel Petrisor, DMD, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Oral & Maxillofacial Surgery
Credential: DMD, MD
Enumeration Date: Jun 9, 2007
Last Updated: Jul 16, 2025

Practice Location

Address: 3181 SW SAM JACKSON PARK RD
City: Portland
State: Oregon
ZIP Code: 97239-3011
Phone: (503) 494-8916

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Oral & Maxillofacial Surgery	204E00000X	Primary
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X

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