Michael D Cary, DMD
Individual provider Active NPI General Practice Dentistry · Canby, OR
NPI 1902821028 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1902821028
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- D6882 (OR)
- Practice address
- 351 NW 4TH Ave
Canby, OR 97013-3505 - Phone
- (503) 266-6844
- Fax
- (503) 266-8464
- NPI assigned
- Jul 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D6882 | OR | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cary Dental Canby | Past | Accepting new patients | |
| Cary Dental Sherwood | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D6882 | OR | Yes |
Addresses
Primary practice location
351 NW 4TH Ave
Canby, OR 97013-3505
Mailing address
351 NW 4TH Ave
Canby, OR 97013-3505
Phone (503) 266-6844
Other providers in Canby, OR
- Canby of Olympus, LLC
- Canby Physical Therapy and Sports Medicine, LLC
- Lindsey Nicole Carpenter
- Debra Marie Carson-Cropp
- Cary Dental Canby
- Shelly Castaneda
- Jessica L Chapman
- Rebecca Chevrel
- Daniel Chong
- Andrea R Christopher
All providers in Canby, OR · General Practice Dentistry in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.