Individual provider · Type 1 NPI

Mary Kaitlin Cardullo, DMD

Dentist · Portland, OR

NPI number 1619638764 Active

Practice location

8568 SW Apple Way
Portland, OR 97225-1772

Call (503) 292-6773 Map

Mailing address

1522 SE Belmont St
Portland, OR 97214-2642

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XD11547 (OR)

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 1619638764

Mary Kaitlin Cardullo, DMD's National Provider Identifier is 1619638764, issued on Dec 31, 2021. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Portland, OR. The record was last updated on Dec 31, 2021.