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Sunny Drake, DMD, MS — NPI 1467683276, Portland, OR | NPI Central

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NPI 1467683276

IndividualActive

Sunny Drake, DMD, MS

NPI 1467683276 · Periodontics · Portland, OR

Provider details

NPI number: 1467683276
Entity type: Individual
Primary specialty: PeriodonticsDental Providers
Credential: DMD, MS
Sex: Female
Sole proprietor: Yes
License: D9324 (OR)

Specialties & taxonomies

PeriodonticsPrimary1223P0300XLicense D9324 (OR)
Dental Providers
General Practice Dentistry1223G0001XLicense D9324 (OR)
Dental Providers
Dentist122300000XLicense D9324 (OR)
Dental Providers

Practice location

2730 S Moody Ave

Portland, OR 97201-5042

Phone: (503) 494-8867

Approximate (ZIP-level) locationGet directions

More OR providers

Mailing address

2730 S Moody Ave

Portland, OR 97201-5042

Registry dates

Enumerated: 2009-07-29
Last updated: 2025-12-16
Certified: 2025-12-16

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