DEREK W. CONKLIN DMD PC
NPI 1558635391
Dentist in Sandy, OR

Active since February 24, 2012
17471 SHELLEY AVE STE A, SANDY, OR 97055(503) 668-4655(503) 668-8755 Get Directions Write a Review

NPPES record last updated: February 24, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Derek W. Conklin Dmd Pc NPPES

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

DEREK W. CONKLIN DMD PC (NPI 1558635391) is a healthcare organization registered as a dentist in Sandy, Oregon and active in the NPI registry since February 2012. The organization lists Derek W. Conklin, President, as its authorized official.

NPPES Registry Identity

NPI1558635391
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameDEREK W. CONKLIN DMD PC
Location Address17471 SHELLEY AVE STE ASandy, OR 97055-8084
Mailing Address17471 Shelley Ave Ste ASandy, OR 97055-8084 · (503) 668-4655 · Fax (503) 668-8755
Fax(503) 668-8755
Organization SubpartNo
Authorized OfficialDerek W. ConklinPresident · (503) 668-4655
Enumeration DateFebruary 24, 2012
NPI 1558635391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in OR · D8325
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.

17471 SHELLEY AVE STE A, Sandy, OR 97055

Other Identifiers 1

Medicaid243185OR

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

Accepted Insurance

Other Providers at the Same Location NPPES

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

Dentist
17471 SHELLEY AVE STE A
SANDY, OR 97055

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1558635391, enumerated as an "organization" on February 24, 2012.

The provider is located at 17471 SHELLEY AVE STE A SANDY, OR 97055 and the phone number is (503) 668-4655.

Dentist with taxonomy code 122300000X.

The provider might be accepting Accepts: UnitedHealthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.