- Practice location
- 7095 SW Gonzaga St, Tigard, OR 97223-8309
- Phone
- 855-433-6825
- Fax
- —
- Last updated
- September 30, 2020
Bryan Clevenger is a Dentist, Oral and Maxillofacial Surgery based in Tigard, OR. Bryan Clevenger practices in Tigard, OR and has the professional credentials of DDS. The NPI Number for Bryan Clevenger is 1780065128 and holds a License No. D11035 (OR). The current practice location address for Bryan Clevenger is 7095 SW Gonzaga St, Tigard, OR 97223-8309 and can be reached out via phone at 855-433-6825.
Provider Profile Details
- NPI Number
- 1780065128
- Provider Name
- Bryan Clevenger
- Credential
- DDS
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 7095 SW Gonzaga St, Tigard, OR 97223-8309
- Phone Number
- 855-433-6825
- Primary Taxonomy
- Dentist, Oral and Maxillofacial Surgery · 1223S0112X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 11, 2015
- Last Update Date
- September 30, 2020
- Certification Date
- September 30, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 7095 SW Gonzaga St
Tigard, OR 97223-8309 - City
- Tigard
- State
- Oregon
- Zip
- 97223-8309
- Phone Number
- 855-433-6825
Provider Business Mailing Address Details
- Address
- 6950 NE Campus Way
Hillsboro, OR 97124-5611 - City
- Hillsboro
- State
- OR
- Zip
- 97124-5611
- Phone Number
- 855-433-6825
License Information
- License Number
- D11035
- License State
- OR
- Taxonomy
- Dentist, Oral and Maxillofacial Surgery · 1223S0112X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, Oral and Maxillofacial Surgery providers near Tigard, OR
View all Dentist, Oral and Maxillofacial Surgery providers in Tigard →- Dennis P Clark, DMDDentist, Oral and Maxillofacial Surgery · NPI 1386868370
- Dennis P. Clark, D.m.d., P.c.Dentist, Oral and Maxillofacial Surgery · NPI 1235249160
- Dr. Gregory P Delgado, DDSDentist, Oral and Maxillofacial Surgery · NPI 1538281068
- Dr. Jeffrey M Burstein, DDS, MDDentist, Oral and Maxillofacial Surgery · NPI 1114121720
Frequently Asked Questions
What is the NPI number of Bryan Clevenger, DDS?
The NPI number of Bryan Clevenger, DDS is 1780065128. It was assigned on June 11, 2015 and is currently active in the NPPES registry.
What is the specialty of Bryan Clevenger, DDS?
Bryan Clevenger, DDS is registered under the primary taxonomy Dentist, Oral and Maxillofacial Surgery (code 1223S0112X), licensed in OR under license number D11035.
Where does Bryan Clevenger, DDS practice?
The practice location is 7095 SW Gonzaga St, Tigard, OR 97223-8309. The office can be reached at 855-433-6825 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1780065128 directly on the NPPES registry website.