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RYAN DOUGLAS MCCORMICK DMD
NPI 1073162699
Dentist in Portland, OR

Active since September 06, 2019
3620 SE POWELL BLVD STE 200, PORTLAND, OR 97202(503) 878-8702(503) 878-8702 Get Directions Write a Review

NPPES record last updated: September 6, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Ryan Douglas Mccormick Dmd NPPES

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

RYAN DOUGLAS MCCORMICK DMD (NPI 1073162699) is an individual dentist in Portland, Oregon, licensed in Oregon (D11127) and active in the NPI registry since September 2019. He maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1073162699
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameRYAN DOUGLAS MCCORMICKCredential: DMD
Location Address3620 SE POWELL BLVD STE 200Portland, OR 97202-1880
Mailing Address3620 Se Powell Blvd Ste 200Portland, OR 97202-1880 · (503) 878-8702
Phone(503) 878-8702
Fax(503) 878-8702
Sole ProprietorYes
Enumeration DateSeptember 6, 2019
✔ NPI 1073162699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in OR · D11127
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.
3620 SE POWELL BLVD STE 200, Portland, OR 97202
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Secondary Practice Location 1

Location 116338 SE Stark StPortland, OR 97233-3958 · Phone (503) 912-2600

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental Plan of Oregon, Humana.Insurance ›

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 Ryan Mccormick's NPI number?

The NPI number for Ryan Mccormick is 1073162699. It was assigned to this individual provider in the NPPES registry on September 6, 2019.

Where is Ryan Mccormick located?

Ryan Mccormick practices at 3620 SE Powell Blvd Ste 200, Portland, OR 97202. The listed phone number is (503) 878-8702.

What is Ryan Mccormick's specialty?

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

What insurance does Ryan Mccormick accept?

Health plans from Delta Dental Plan of Oregon and Humana list Ryan Mccormick as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ryan Mccormick was last updated on September 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.