Individual provider · Type 1 NPI

Susan Rustvold, DMD

General Practice Dentistry · Portland, OR

NPI number 1609933571 Active

Practice location

3600 N Interstate Ave
Portland, OR 97227-1106

Call (503) 331-5120 Map

Fax (503) 331-5118

Mailing address

1253 SE River Forest Ln
Milwaukie, OR 97267-3606

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XD6306 (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 1609933571

Susan Rustvold, DMD's National Provider Identifier is 1609933571, issued on Jan 2, 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 Jul 8, 2007.