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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
Phone(503) 668-4655
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
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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

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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.

DR. DEREK CONKLIN D.M.D.
Dentist
17471 SHELLEY AVE STE A
SANDY, OR 97055
Clackamas County (503) 668-4655

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 Derek W. Conklin Dmd PC's NPI number?

The NPI number for Derek W. Conklin Dmd PC is 1558635391. It was assigned to this organization in the NPPES registry on February 24, 2012.

Where is Derek W. Conklin Dmd PC located?

Derek W. Conklin Dmd PC is located at 17471 Shelley Ave Ste A, Sandy, OR 97055. The listed phone number is (503) 668-4655.

What is Derek W. Conklin Dmd PC's specialty?

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

What insurance does Derek W. Conklin Dmd PC accept?

Health plans from UnitedHealthcare list Derek W. Conklin Dmd PC 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 Derek W. Conklin Dmd PC was last updated on February 24, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.