Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1932192630 Individual Practitioner Male Practitioner

Dr. Douglas A. Rust , DMD

Dentist - General Practice • Lake Oswego, OR

Professional Overview & Biography Verified Profile Summary

Dr. Douglas Rust, DMD is a registered healthcare professional specializing in Dentist - General Practice in Lake Oswego, OR. Practice services are available at 3970 MERCANTILE DR STE 140 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3970 Mercantile Dr Ste 140

Lake Oswego, OR 970353527

Telephone 5036266800
Fax 5036265090
Associated Practice Facility / Clinic
🏢 Beaverton Dental Center Llc Facility NPI 1023367513

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Lake Oswego, OR

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

Practicing in Lake Oswego, 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

CMS Verified: 2023-09-12
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License OR D5649

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.

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location September 12, 2023

Registered at 3970 MERCANTILE DR STE 140, LAKE OSWEGO, OR 970353527 (Tel: 5036266800)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 11673 SW BEAVERTON HILLSDALE HWY, BEAVERTON, OR 970052928 (Tel: 5036448080)

📍
Updated Business Mailing Address July 08, 2007

Registered at 11673 SW BEAVERTON HILLSDALE HWY, BEAVERTON, OR 970052928 (Tel: 5036448080)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as DOUGLAS RUST, DMD

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

Dentist (License #D5649 in OR)

🟢
Initial NPI Registration & Enumeration August 26, 2005

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: 1932192630
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 26, 2005
Last Update: September 12, 2023
Sole Proprietor: Yes

Mailing Address

11673 Sw Beaverton Hillsdale Hwy

Beaverton, OR 970052928

Phone: 5036448080

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.