Individual provider · Type 1 NPI

Octavia S. Lively, DDS

Dentist · Portland, OR

NPI number 1003256827 Active

Practice location

3710 SW US Vetrn Hosp Rd
Portland, OR 97239-2964

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XD10027 (OR)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1003256827

Octavia S. Lively, DDS's National Provider Identifier is 1003256827, issued on Jun 25, 2013. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Portland, OR. The record was last updated on Feb 12, 2019.