IndividualActive
Amanda Muzzio, DDS
NPI 1114405859 · Dentist · Gresham, OR
Provider details
- NPI number
- 1114405859
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- License
- D10884 (OR)
Specialties & taxonomies
Dental Providers
Practice location
387 Ne 223rd Ave
Gresham, OR 97030-8554
Phone: (503) 491-5450
Approximate (ZIP-level) locationGet directions
Mailing address
387 Ne 223rd Ave
Gresham, OR 97030-8554
Registry dates
- Enumerated
- 2018-08-03
- Last updated
- 2018-08-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.