Individual provider · Type 1 NPI
Douglas A. Rust, DMD
General Practice Dentistry · Lake Oswego, OR
NPI number
1932192630
Active
Practice location
3970 Mercantile Dr Ste 140
Lake Oswego, OR 97035-3527
Fax (503) 626-5090
Mailing address
11673 SW Beaverton Hillsdale Hwy
Beaverton, OR 97005-2928
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | D5649 (OR) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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- Paul L. Kimbrel, DMDGeneral Practice Dentistry Lake Oswego, OR NPI 1053311977
- Anna Ball, DMDGeneral Practice Dentistry Lake Oswego, OR NPI 1073497178
- Larry Bowden, DMDGeneral Practice Dentistry Lake Oswego, OR NPI 1093708265
- Bradley E. Sievert, DMDGeneral Practice Dentistry Lake Oswego, OR NPI 1104963537
- Timothy John Edvalson, DMDGeneral Practice Dentistry Lake Oswego, OR NPI 1205821154
- Lynn E. Smith, DMDGeneral Practice Dentistry Lake Oswego, OR NPI 1205923513
About NPI 1932192630
Douglas A. Rust, DMD's National Provider Identifier is 1932192630, issued on Aug 26, 2005. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Lake Oswego, OR. The record was last updated on Sep 12, 2023.