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Derek Conklin, D.M.D. — NPI 1396868048, Sandy, OR | NPI Central

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NPI 1396868048

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Derek Conklin, D.M.D.

NPI 1396868048 · Dentist · Sandy, OR

Provider details

NPI number: 1396868048
Entity type: Individual
Primary specialty: DentistDental Providers
Credential: D.M.D.
Sex: Male
Sole proprietor: Yes
License: D8325 (OR)

Specialties & taxonomies

DentistPrimary122300000XLicense D8325 (OR)
Dental Providers

Practice location

17471 Shelley Ave Ste a

Sandy, OR 97055-8084

Phone: (503) 668-4655

Fax: (503) 668-8755

Approximate (ZIP-level) locationGet directions

More OR providers

Mailing address

17471 Shelley Ave

Sandy, OR 97055-8084

Registry dates

Enumerated: 2007-04-09
Last updated: 2012-02-28

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