Individual provider · Type 1 NPI

Jacy A. Stauffer, DMD

Pediatric Dentistry · Portland, OR

NPI number 1699974014 Active

Practice location

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011

Call (503) 418-5799 Map

Fax (503) 418-4750

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry 1223P0221XLL738 (MD)
Pediatric Dentistry Primary 1223P0221XDF0053 (OR)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1699974014

Jacy A. Stauffer, DMD's National Provider Identifier is 1699974014, issued on Jul 16, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Portland, OR. The record was last updated on Nov 10, 2022.