David An Luc Jr., DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D11778 Issued in OR

Practice address

11211 SE 82ND Ave Ste H
Clackamas, OR 97086-7641

Phone

(971) 338-4899

NPI assigned

Jul 18, 2023

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1972283794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11822 SE FOSTER RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972664049",
            "telephone_number": "503-495-5230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11211 SE 82ND AVE STE H",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970867641",
            "telephone_number": "971-338-4899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUC",
        "first_name": "DAVID",
        "middle_name": "AN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-18",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D11778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Ryan Love, MACOM, LAC
• Tanya Love, DAOM, LAC
• Michele Robin Lovell
• Catherine J Lowe, LAC, CNM
• Hillary Elizabeth Rachel Lowenstein, M.D.
• John Vinh Luc, PHARM.D.
• Gregory S Lucas, M.ED.
• Sucely Giovanna Marie Lucas
• Robert Ludemann, M.D. PH.D.
• Cora M Ludwig, MD

• Dentist in Clackamas, OR
• Providers in Clackamas, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.