Individual provider · Type 1 NPI

Roy Creager Lusch, DDS

General Practice Dentistry · Portland, OR

NPI number 1467519868 Active

Practice location

948 NE 102nd Ave, Suite 105
Portland, OR 97220-4064

Mailing address

1405 SE 115th Ave
Portland, OR 97216-3965

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X6360 (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.

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About NPI 1467519868

Roy Creager Lusch, DDS's National Provider Identifier is 1467519868, issued on Jan 3, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Portland, OR. The record was last updated on Dec 19, 2012.