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OHSU SCHOOL OF DENTISTRY
NPI 1063596690
Dentist in Portland, OR

Active since October 24, 2006
2730 S MOODY AVE, PORTLAND, OR 97201(503) 494-8867(503) 494-2365 Get Directions Write a Review

NPPES record last updated: March 21, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ohsu School Of Dentistry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OHSU SCHOOL OF DENTISTRY (NPI 1063596690) is a healthcare organization registered as a dentist in Portland, Oregon and active in the NPI registry since October 2006. The organization lists Phillip T Marucha, Dean, as its authorized official.

NPPES Registry Identity

NPI1063596690
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameOREGON HEALTH AND SCIENCE UNIVERSITY
Location Address2730 S MOODY AVEPortland, OR 97201-5042
Mailing Address2730 S Moody AvePortland, OR 97201-5042 · (503) 494-8867 · Fax (503) 494-2365
Phone(503) 494-8867
Fax(503) 494-2365
Organization SubpartNo
Authorized OfficialPhillip T MaruchaDean · (503) 494-8801
Enumeration DateOctober 24, 2006
Last NPPES UpdateMarch 21, 2023
NPPES CertifiedMarch 21, 2023
✔ NPI 1063596690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition

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 requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

2730 S MOODY AVE, Portland, OR 97201
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Other Names 1

Doing Business AsOhsu School Of Dentistry

Other Identifiers 2

Medicaid149518OR
Medicaid5729603WA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ESHA MUKHERJEE MSD
Dentist (Prosthodontics)
2730 S MOODY AVE
PORTLAND, OR 97201
Multnomah County (502) 531-3763
DANIEL SCOTT KOSKENMAKI
Student in an Organized Health Care Education/Training Program
2730 S MOODY AVE
PORTLAND, OR 97201
Multnomah County (503) 494-8428
SARHA ELENA RUSS
Student in an Organized Health Care Education/Training Program
2730 S MOODY AVE
PORTLAND, OR 97201
Multnomah County (503) 494-3633
MARK PUSUNG
Student in an Organized Health Care Education/Training Program
2730 S MOODY AVE
PORTLAND, OR 97201
Multnomah County (503) 494-8428
KATHERINE KELLY FOSSETTA PHYSICIAN ASSISTANT
Student in an Organized Health Care Education/Training Program
2730 S MOODY AVE
PORTLAND, OR 97201
Multnomah County (503) 494-9645
LAT WIN
Student in an Organized Health Care Education/Training Program
2730 S MOODY AVE
PORTLAND, OR 97201
Multnomah County (503) 494-3633
LAUREN THOMPSON
Student in an Organized Health Care Education/Training Program
2730 S MOODY AVE
PORTLAND, OR 97201
Multnomah County (503) 494-8311
KAYLA MARIE RORVIG
Student in an Organized Health Care Education/Training Program
2730 S MOODY AVE
PORTLAND, OR 97201
Multnomah County (503) 494-3633

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Oregon Health And Science University's NPI number?

The NPI number for Oregon Health And Science University is 1063596690. It was assigned to this organization in the NPPES registry on October 24, 2006. The provider is doing business as Ohsu School Of Dentistry.

Where is Oregon Health And Science University located?

Oregon Health And Science University is located at 2730 S Moody Ave, Portland, OR 97201. The listed phone number is (503) 494-8867.

What is Oregon Health And Science University's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Oregon Health And Science University was last updated on March 21, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.