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DR. MARY F STAVROPOULOS D.D.S.
NPI 1417914003
Dentist - Oral and Maxillofacial Surgery in Portland, OR

Active since April 27, 2006
2730 SW MOODY AVE, PORTLAND, OR 97201(608) 769-4364 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 7, 2023, Aug 20, 2018 (2 updates tracked since 2018).

About Dr. Mary F Stavropoulos D.d.s. NPPES

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

DR. MARY F STAVROPOULOS D.D.S. (NPI 1417914003) is an individual oral and maxillofacial surgery provider in Portland, Oregon, licensed in Wisconsin (7015) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1417914003
Entity TypeIndividualFemale
Primary Taxonomy1223S0112X
Provider Legal NameDR. MARY F STAVROPOULOSCredential: D.D.S.
Location Address2730 SW MOODY AVEPortland, OR 97201
Mailing Address1836 South AveLa Crosse, WI 54601-5429 · (608) 782-7300
Phone(608) 769-4364
Sole ProprietorNo
Enumeration DateApril 27, 2006
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
✔ NPI 1417914003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses✔ Licensed in WI · 7015✔ Licensed in OR · D10449✔ Licensed in FL · DTP 113✔ Licensed in MN · S68
Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

2730 SW MOODY AVE, Portland, OR 97201
Open in Google Maps ↗

Other Identifiers 1

Other366627OR · Medicare

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.

MR. ALVIN ASHNEEL PRASAD PA-C
Physician Assistant (Medical)
2730 SW MOODY AVE
PORTLAND, OR 97201
Multnomah County (503) 494-3633
MS. SARAH NICOLETTE BROWN M.D. EXPECTED 2018
Student in an Organized Health Care Education/Training Program
2730 SW MOODY AVE, CL5MD
PORTLAND, OR 97201
Multnomah County (503) 494-8428
JOSEPH VINCENT CALIFANO DDS, PHD
Dentist (Periodontics)
2730 SW MOODY AVE, MAIL CODE SD-PERI
PORTLAND, OR 97201
Multnomah County (503) 346-4772
DR. LYNN CARMAN WHITLEY DMD
Dentist
2730 SW MOODY AVE
PORTLAND, OR 97201
Multnomah County (503) 494-1607
DR. BRIAN WHITTEN DDS
Dentist (Endodontics)
2730 SW MOODY AVE
PORTLAND, OR 97201
Multnomah County (503) 418-1669
YVES GACINYA
Student in an Organized Health Care Education/Training Program
2730 SW MOODY AVE
PORTLAND, OR 97201
Multnomah County (503) 568-6164
DR. WILLIAM MOORE D.M.D.
Dentist (Pediatric Dentistry)
2730 SW MOODY AVE, SCHOOL OF DENTISTRY
PORTLAND, OR 97201
Multnomah County (503) 418-4333
OSA
Durable Medical Equipment & Medical Supplies
2730 SW MOODY AVE
PORTLAND, OR 97201
Multnomah County (503) 860-0150

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 Mary Stavropoulos's NPI number?

The NPI number for Mary Stavropoulos is 1417914003. It was assigned to this individual provider in the NPPES registry on April 27, 2006.

Where is Mary Stavropoulos located?

Mary Stavropoulos practices at 2730 SW Moody Ave, Portland, OR 97201. The listed phone number is (608) 769-4364.

What is Mary Stavropoulos's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Mary Stavropoulos was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.