Davis, Dustin Michael

Davis, Dustin Michael is an individual health care provider with primary practice located at 11411 Se Sunnyside Rd Ste 101 , Clackamas OR 97015-9356. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is his primary health care specialty. Davis, Dustin Michael can be contacted via phone (503) 855-5100.

Contact Information

Primary practice address
11411 Se Sunnyside Rd Ste 101 Clackamas OR 97015-9356
Phone: (503) 855-5100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DEN.00202313 Colorado
Dental Providers / Pediatric Dentistry 1223P0221X DE60650351 Washington
Dental Providers / Pediatric Dentistry 1223P0221X D11447 Oregon
Dental Providers / Dentist 122300000X 019029333 Illinois

Profile Details

NPI number 1063787497
LBN Legal business name Davis, Dustin Michael
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2012
Last updated Jun 30th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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