Individual provider · Type 1 NPI

Kody James Crook, DMD

General Practice Dentistry · Portland, OR

NPI number 1114651460 Active

Practice location

5071 NE 122nd Ave
Portland, OR 97230-1003

Mailing address

5809 SE 29th Ter
Gresham, OR 97080-8608

Other practice locations

  • 36840 Industrial Way, Sandy, OR 97055-9254 · (503) 668-1300

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XD11634 (OR)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

3 other providers at this address

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About NPI 1114651460

Kody James Crook, DMD's National Provider Identifier is 1114651460, issued on Jul 13, 2022. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Portland, OR. The record was last updated on Jul 13, 2022.