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DR. VICTOR R MANCUSO D.D.S., M.S.
NPI 1508967704
Dentist - Endodontics in Portland, OR

Active since September 26, 2006
6400 SE LAKE RD STE 140, PORTLAND, OR 97222(503) 496-4766(503) 496-4700 Get Directions Write a Review

NPPES record last updated: April 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 14, 2021, Apr 7, 2021 (2 updates tracked since 2021).

About Dr. Victor R Mancuso D.d.s., M.s. NPPES

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

DR. VICTOR R MANCUSO D.D.S., M.S. (NPI 1508967704) is an individual endodontics provider in Portland, Oregon, licensed in Oregon (D10405) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1508967704
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameDR. VICTOR R MANCUSOCredential: D.D.S., M.S.
Location Address6400 SE LAKE RD STE 140Portland, OR 97222-2194
Mailing Address6400 Se Lake Rd Ste 140Portland, OR 97222-2194 · (503) 496-4766 · Fax (503) 496-4700
Phone(503) 496-4766
Fax(503) 496-4700
Sole ProprietorYes
Enumeration DateSeptember 26, 2006
Last NPPES UpdateApril 14, 20212 updates tracked since enumeration
NPPES CertifiedApril 14, 2021
✔ NPI 1508967704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
Licenses✔ Licensed in OR · D10405✔ Licensed in CA · 37698
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
6400 SE LAKE RD STE 140, Portland, OR 97222
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Accepted Insurance

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

Other Providers at the Same Location NPPES 5

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

DR. JACOB LIM SCHEEL DDS
Dentist (Endodontics)
6400 SE LAKE RD STE 140
PORTLAND, OR 97222
Clackamas County (503) 496-4766
MS. HEIDI LOUANNN PAPASADERO L.M.T.
Massage Therapist
6400 SE LAKE RD STE 140
MILWAUKIE, OR 97222
Clackamas County (503) 706-2842
JOON KOH DMD
Dentist (Endodontics)
6400 SE LAKE RD STE 140
PORTLAND, OR 97222
Clackamas County (503) 496-4766
DR. KEITH RANDAL NORTON DDS
Dentist (General Practice)
6400 SE LAKE RD STE 140
MILWAUKIE, OR 97222
Clackamas County (503) 654-1294
TERRY L ISOM DMD,PC
Clinic/Center (Dental)
6400 SE LAKE RD STE 140
PORTLAND, OR 97222
Clackamas County (503) 496-4766

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 Victor Mancuso's NPI number?

The NPI number for Victor Mancuso is 1508967704. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Where is Victor Mancuso located?

Victor Mancuso practices at 6400 SE Lake Rd Ste 140, Portland, OR 97222. The listed phone number is (503) 496-4766.

What is Victor Mancuso's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

What insurance does Victor Mancuso accept?

Health plans from Humana and Renaissance Dental list Victor Mancuso 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 Victor Mancuso was last updated on April 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.