Individual provider · Type 1 NPI

Sandra Ann McCoy, DMD

Periodontics · Portland, OR

NPI number 1730108044 Active

Practice location

10102 NE Glisan St
Portland, OR 97220-4456

Call (503) 257-5959 Map

Fax (503) 408-1472

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X5845 (OR)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1730108044

Sandra Ann McCoy, DMD's National Provider Identifier is 1730108044, issued on Jul 18, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2007.