Individual provider · Type 1 NPI

Bryan Clevenger, DDS

Oral and Maxillofacial Surgery (Dentist) · Tigard, OR

NPI number 1780065128 Active

Practice location

7095 SW Gonzaga St
Tigard, OR 97223-8309

Call (855) 433-6825 Map

Mailing address

6950 NE Campus Way
Hillsboro, OR 97124-5611

Other practice locations

  • 7703 Floyd Curl Dr, San Antonio, TX 78229-3901 · (210) 567-7000
  • 1625 E Mcandrews Rd Ste A, Medford, OR 97504 · (541) 779-3781
  • 1625 E Mcandrews Rd Ste A, Medford, OR 97504 · (541) 779-3781

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XD11035 (OR)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

12 other providers at this address

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About NPI 1780065128

Bryan Clevenger, DDS's National Provider Identifier is 1780065128, issued on Jun 11, 2015. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Tigard, OR. The record was last updated on Sep 30, 2020.