Individual provider · Type 1 NPI

Kristan Dyan Rodriguez, DDS

General Practice Dentistry · Portland, OR

NPI number 1366966533 Active

Practice location

7615 SW Capitol Hwy
Portland, OR 97219-2436

Mailing address

31513 SW Orchard Dr
Wilsonville, OR 97070-5500

Other practice locations

  • 833 SW 11th Ave Ste 300, Portland, OR 97205-2117 · (503) 224-7815

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XD11075 (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 1366966533

Kristan Dyan Rodriguez, DDS's National Provider Identifier is 1366966533, issued on Jul 31, 2017. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Portland, OR. The record was last updated on Aug 16, 2021.