Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1992724678 Individual Practitioner Male Practitioner

Dr. Douglas Kent Edwards , DMD

Dentist - General Practice • Clackamas, OR

Professional Overview & Biography Verified Profile Summary

Dr. Douglas Edwards, DMD is a registered healthcare professional specializing in Dentist - General Practice in Clackamas, OR. Practice services are available at 10209 SE SUNNYSIDE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

10209 Se Sunnyside Rd

Clackamas, OR 970159782

Telephone 5033533900
Fax 5033533903
Associated Practice Facility / Clinic
🏢 Kaiser Permamante Facility NPI 1003829391

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Clackamas, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
25 Specialists

Practicing in Clackamas, OR (1994 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License OR D6452

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License WA DE00006942

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

36 Associated Practitioners
Cindy Nonamaker , RDH

Dental Hygienist

NPI 1013062595

Registered Dental Hygienist

Joy Imholt

Dentist - Pediatric Dentistry

NPI 1023999281
Rachel Pena , RDH

Dental Hygienist

NPI 1033543681

Registered Dental Hygienist

Heidi Johnson

Dental Assistant

NPI 1043365919
Michelle Vaughn , RDH

Dental Hygienist

NPI 1043437148

Registered Dental Hygienist

Jessica Hughes

Dental Assistant

NPI 1043783913

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 10209 SE SUNNYSIDE RD, CLACKAMAS, OR 970159782 (Tel: 5033533900)

📍
Updated Business Mailing Address July 08, 2007

Registered at 10209 SE SUNNYSIDE RD, CLACKAMAS, OR 970159782 (Tel: 5033533900)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as DOUGLAS EDWARDS, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #D6452 in OR)

🟢
Initial NPI Registration & Enumeration July 19, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1992724678
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 19, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

10209 Se Sunnyside Rd

Clackamas, OR 970159782

Phone: 5033533900

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.