IndividualActive
Michael Criscione, D.M.D
NPI 1497971824 · General Practice Dentistry · Lake Oswego, OR
Provider details
- NPI number
- 1497971824
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.M.D
- Sex
- Male
- Sole proprietor
- No
- License
- D6583 (OR)
Specialties & taxonomies
Dental Providers
Practice location
3975 Mercantile Dr Ste 150
Lake Oswego, OR 97035-2569
Phone: (503) 636-7601
Approximate (ZIP-level) locationGet directions
Mailing address
3975 Mercantile Dr Ste 150
Lake Oswego, OR 97035-2569
Registry dates
- Enumerated
- 2007-04-17
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.