Individual provider · Type 1 NPI

Daniel Petrisor, DMD, MD

Oral & Maxillofacial Surgery (D.M.D.) · Portland, OR

NPI number 1235332834 Active

Practice location

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011

Call (503) 494-8916 Map

Fax (503) 494-6783

Specialties and licenses

TaxonomyCodeLicense
Oral & Maxillofacial Surgery (D.M.D.) Primary 204E00000XMD154906 (OR)
Oral and Maxillofacial Surgery (Dentist) 1223S0112XD9059 (OR)

Oral & Maxillofacial Surgery (D.M.D.): Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the j…

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About NPI 1235332834

Daniel Petrisor, DMD, MD's National Provider Identifier is 1235332834, issued on Jun 9, 2007. The primary taxonomy on file is Oral & Maxillofacial Surgery (D.M.D.) (204E00000X), and the practice location is in Portland, OR. The record was last updated on Jul 16, 2025.