Individual provider · Type 1 NPI

Benjamin Lively, DDS

Dentist · Portland, OR

NPI number 1891226569 Active

Practice location

2730 S Moody Ave
Portland, OR 97201-5042

Call (214) 726-6404 Map

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XD10603 (OR)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1891226569

Benjamin Lively, DDS's National Provider Identifier is 1891226569, issued on Mar 24, 2017. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Portland, OR. The record was last updated on Jun 4, 2024.