Individual provider · Type 1 NPI

Mark James Vandusen, DMD

Orthodontics and Dentofacial Orthopedics Dentistry · Beaverton, OR

NPI number 1831253335 Active

Practice location

4925 SW Griffith Dr
Beaverton, OR 97005-2923

Fax (503) 277-2263

Mailing address

6950 NE Campus Way
Hillsboro, OR 97124-5611

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XD6936 (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 1831253335

Mark James Vandusen, DMD's National Provider Identifier is 1831253335, issued on Dec 20, 2006. 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 May 14, 2015.