OrganizationActive
Derek W. Conklin DMD PC
NPI 1558635391 · Dentist · Sandy, OR
Provider details
- NPI number
- 1558635391
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Derek Conklin, President(503) 668-4655
- License
- D8325 (OR)
Specialties & taxonomies
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
Mailing address
17471 Shelley Ave Ste a
Sandy, OR 97055-8084
Registry dates
- Enumerated
- 2012-02-24
- Last updated
- 2012-02-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.