Individual provider · Type 1 NPI

Sunny L. Drake, DMD, MS

Periodontics · Portland, OR

NPI number 1467683276 Active

Practice location

2730 S Moody Ave
Portland, OR 97201-5042

Call (503) 494-8867 Map

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001XD9324 (OR)
Dentist 122300000XD9324 (OR)
Periodontics Primary 1223P0300XD9324 (OR)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1467683276

Sunny L. Drake, DMD, MS's National Provider Identifier is 1467683276, issued on Jul 29, 2009. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Portland, OR. The record was last updated on Dec 16, 2025.