Dustin Davis, D.D.S.
NPI 1063787497 · Pediatric Dentistry · Clackamas, OR
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dustin Davis, D.D.S. is a Pediatric Dentistry provider in Clackamas, OR (NPI 1063787497).
Provider details
- NPI number
- 1063787497
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- License
- DEN.00202313 (CO)
Specialties & taxonomies
Dental Providers
Dental Providers
Dental Providers
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-03-19
- Last updated
- 2021-06-30
- Certified
- 2021-06-30
Frequently asked questions
- What is Dustin Davis's NPI number?
- Dustin Davis's National Provider Identifier (NPI) is 1063787497, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Dustin Davis's specialty?
- Dustin Davis is listed in the NPPES registry with a primary specialty of Pediatric Dentistry (Dental Providers).
- Where is Dustin Davis located?
- Dustin Davis's practice location on file with NPPES is 11411 Se Sunnyside Rd Ste 101, Clackamas, OR 97015-9356.
- What is Dustin Davis's phone number?
- The practice phone number listed in the NPPES registry for Dustin Davis is (503) 855-5100.
- Does Dustin Davis accept Medicare?
- Dustin Davis is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Dustin Davis's NPI active?
- Yes — Dustin Davis's NPI (1063787497) is active in the NPPES registry as of the last update on 2021-06-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.