Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1265505408 Individual Practitioner Male Practitioner

Dr. Jon Derek Yatsushiro , DDS

Dentist - Endodontics • Gresham, OR

Professional Overview & Biography Verified Profile Summary

Dr. Jon Yatsushiro, DDS is a registered healthcare professional specializing in Dentist - Endodontics in Gresham, OR. Practice services are available at 320 NE 5TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

320 Ne 5th St

Gresham, OR 970307308

Telephone 5036650495
Fax 5036749196
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Endodontics in Gresham, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
6 Specialists

Practicing in Gresham, OR (119 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 - Endodontics Primary Specialty

NUCC Taxonomy Code: 1223E0200X

State License OR D7505

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

Dentist - Endodontics

NUCC Taxonomy Code: 1223E0200X

State License HI 1571

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

Dentist - Endodontics

NUCC Taxonomy Code: 1223E0200X

State License CA 35662

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

Practice Associates & Co-Workers

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

4 Associated Practitioners
Dr. Ty Vaughan , DDS

Dentist - Endodontics

NPI 1558526368

Doctor of Dental Surgery

Dr. Dale Barker , DDS

Dentist - Endodontics

NPI 1861561508

Doctor of Dental Surgery

Dr. Mark Danielson , DDS

Dentist - Endodontics

NPI 1932296761

Doctor of Dental Surgery

Dr. Luke Noble , DDS

Dentist - Endodontics

NPI 1962899286

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 03, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 03, 2016

Registered at 320 NE 5TH ST, GRESHAM, OR 970307308 (Tel: 5036650495)

📍
Updated Business Mailing Address August 03, 2016

Registered at 320 NE 5TH ST, GRESHAM, OR 970307308 (Tel: 5036650495)

👤
Provider Name / Credentials Updated August 03, 2016

Recorded as JON YATSUSHIRO, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 03, 2016

Dentist (License #D7505 in OR)

🟢
Initial NPI Registration & Enumeration November 16, 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: 1265505408
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 16, 2006
Last Update: August 03, 2016
Sole Proprietor: No

Mailing Address

320 Ne 5th St

Gresham, OR 970307308

Phone: 5036650495

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.