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MICHELLE C. CROCKER, DMD, PC
NPI 1235456153
Dentist in Portland, OR

Active since May 02, 2010
11786 SW BARNES RD STE 320, PORTLAND, OR 97225(503) 641-3550 Get Directions Write a Review

NPPES record last updated: May 2, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Michelle C. Crocker, Dmd, Pc NPPES

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

MICHELLE C. CROCKER, DMD, PC (NPI 1235456153) is a healthcare organization registered as a dentist in Portland, Oregon and active in the NPI registry since May 2010. The organization lists Michelle C Crocker, President, as its authorized official.

NPPES Registry Identity

NPI1235456153
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameMICHELLE C. CROCKER, DMD, PC
Location Address11786 SW BARNES RD STE 320Portland, OR 97225-5930
Mailing Address13195 Sw Shore DrTigard, OR 97223-1683 · (503) 641-3550
Phone(503) 641-3550
Organization SubpartNo
Authorized OfficialMichelle C CrockerPresident · (503) 515-6092
Enumeration DateMay 2, 2010
✔ NPI 1235456153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in OR · D8443
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.
11786 SW BARNES RD STE 320, Portland, OR 97225
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. MICHELLE CHRISTINE CROCKER DMD
Dentist (General Practice)
11786 SW BARNES RD STE 320
PORTLAND, OR 97225
Washington County (503) 641-3550

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 Michelle C. Crocker, Dmd, PC's NPI number?

The NPI number for Michelle C. Crocker, Dmd, PC is 1235456153. It was assigned to this organization in the NPPES registry on May 2, 2010.

Where is Michelle C. Crocker, Dmd, PC located?

Michelle C. Crocker, Dmd, PC is located at 11786 SW Barnes Rd Ste 320, Portland, OR 97225. The listed phone number is (503) 641-3550.

What is Michelle C. Crocker, Dmd, PC'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 Michelle C. Crocker, Dmd, PC was last updated on May 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.