Individual provider · Type 1 NPI

Kevin William Ensley, DMD

Orthodontics and Dentofacial Orthopedics Dentistry · Beaverton, OR

NPI number 1659370468 Active · reactivated Apr 5, 2006

Practice location

3810 SW Hall Blvd
Beaverton, OR 97005-2048

Fax (503) 646-2886

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	6565 (OR)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1659370468

Kevin William Ensley, DMD's National Provider Identifier is 1659370468, issued on Jul 14, 2005. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Beaverton, OR. The record was last updated on Jul 13, 2026.