Individual provider · Type 1 NPI

Roger Krupetsky

Dentist · Portland, OR

NPI number 1477322014 Active

Practice location

3280 NE Broadway St
Portland, OR 97232-1815

Other practice locations

  • 707 Parnassus Ave, San Francisco, CA 94143-2210 · (415) 502-5800

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XD12158 (OR)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1477322014

Roger Krupetsky's National Provider Identifier is 1477322014, issued on Dec 22, 2023. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Portland, OR. The record was last updated on Jun 29, 2026.