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NPI 1114449485

IndividualActive

Austin Todd, DDS

NPI 1114449485 · Dentist · Tualatin, OR

Provider details

NPI number: 1114449485
Entity type: Individual
Primary specialty: DentistDental Providers
Credential: DDS
Sex: Male
Sole proprietor: Yes
License: D10684 (OR)

Practice location

7017 Sw Nyberg St Ste P-46

Tualatin, OR 97062-6243

Phone: (972) 974-5602

More OR providers

Mailing address

550 Nw 19th Ave Apt 404

Portland, OR 97209-2092

Registry dates

Enumerated: 2017-07-08
Last updated: 2017-07-08

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Austin Todd, DDS — NPI 1114449485, Tualatin, OR | NPI Central