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DR. SANDRA ANN MCCOY DMD
NPI 1730108044
Dentist - Periodontics in Portland, OR

Active since July 18, 2006
10102 NE GLISAN ST, PORTLAND, OR 97220(503) 257-5959(503) 408-1472 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Sandra Ann Mccoy Dmd NPPES

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

DR. SANDRA ANN MCCOY DMD (NPI 1730108044) is an individual periodontics provider in Portland, Oregon, licensed in Oregon (5845) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1730108044
Entity TypeIndividualFemale
Primary Taxonomy1223P0300X
Provider Legal NameDR. SANDRA ANN MCCOYCredential: DMD
Location Address10102 NE GLISAN STPortland, OR 97220-4456
Mailing Address10102 Ne Glisan StPortland, OR 97220-4456 · (503) 257-5959 · Fax (503) 408-1472
Phone(503) 257-5959
Fax(503) 408-1472
Sole ProprietorNo
Enumeration DateJuly 18, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1730108044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in OR · 5845
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
10102 NE GLISAN ST, Portland, OR 97220
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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.

LEANNA GRANDI DA
Dental Assistant
10102 NE GLISAN ST
PORTLAND, OR 97220
Multnomah County (503) 257-5959
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
Dentist (General Practice)
10102 NE GLISAN ST
PORTLAND, OR 97220
Multnomah County (800) 813-2000
YESICA LEON
Dentist (Pediatric Dentistry)
10102 NE GLISAN ST
PORTLAND, OR 97220
Multnomah County (503) 257-5959
MRS. MARLENE JOANNE CRANK RDH
Dental Hygienist
10102 NE GLISAN ST
PORTLAND, OR 97220
Multnomah County (503) 275-5959
LEAH DIXON DA
Dental Assistant
10102 NE GLISAN ST
PORTLAND, OR 97220
Multnomah County (503) 813-2000
MALVINA SHULIK RDH
Dental Hygienist
10102 NE GLISAN ST
PORTLAND, OR 97220
Multnomah County (503) 286-6868
JESSICA GIANG RDH
Dental Hygienist
10102 NE GLISAN ST
PORTLAND, OR 97220
Multnomah County (502) 286-6868
DR. DAVID M. TEETER DMD, MSD
Dentist (Orthodontics and Dentofacial Orthopedics)
10102 NE GLISAN ST
PORTLAND, OR 97220
Multnomah County (503) 257-5959

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 Sandra Mccoy's NPI number?

The NPI number for Sandra Mccoy is 1730108044. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Sandra Mccoy located?

Sandra Mccoy practices at 10102 NE Glisan St, Portland, OR 97220. The listed phone number is (503) 257-5959.

What is Sandra Mccoy's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Sandra Mccoy was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.