Moustapha SY, DDS

General Practice Dentistry · Beaverton, OR

Individual Active NPI

NPI number 1043834997

Practice location

16755 SW Baseline Rd Ste 106
Beaverton, OR 97006-4284
Phone
(503) 352-5450
Fax
(503) 746-5448

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NPI record

NPI
1043834997
Entity type
Individual (Type 1)
Enumeration date
June 5, 2020
Last updated
July 8, 2022
Certified
July 8, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X D11230 OR
Dentist 122300000X D11230 OR
Dentist 122300000X 11230 OR

About Dr. SY

Moustapha SY, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 16755 SW Baseline Rd Ste 106, Beaverton, OR 97006-4284. The NPI number 1043834997 was assigned on June 5, 2020 and the record was last updated on July 8, 2022.

Dr. SY lists 3 licenses in the registry: #D11230 (OR) for General Practice Dentistry; #D11230 (OR) for Dentist; #11230 (OR) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Moustapha SY, DDS?

The NPI number is 1043834997.

What is the phone number of Dr. SY?

The phone number listed for the practice location is (503) 352-5450.

Where is Dr. SY located?

16755 SW Baseline Rd Ste 106, Beaverton, OR 97006-4284.

What is the taxonomy code for Dr. SY?

The primary taxonomy code is 1223G0001X – General Practice Dentistry; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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