Sandra Ann McCoy, DMD

Periodontics · Portland, OR

Individual Active NPI

NPI number 1730108044

Practice location

10102 NE Glisan St
Portland, OR 97220-4456
Phone
(503) 257-5959
Fax
(503) 408-1472

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NPI record

NPI
1730108044
Entity type
Individual (Type 1)
Enumeration date
July 18, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Periodontics Primary 1223P0300X 5845 OR

About Dr. McCoy

Sandra Ann McCoy, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy Periodontics (code 1223P0300X). The practice location is 10102 NE Glisan St, Portland, OR 97220-4456. The NPI number 1730108044 was assigned on July 18, 2006 and the record was last updated on July 8, 2007.

Dr. McCoy lists a license in the registry: #5845 (OR) for Periodontics. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Sandra Ann McCoy, DMD?

The NPI number is 1730108044.

What is the phone number of Dr. McCoy?

The phone number listed for the practice location is (503) 257-5959.

Where is Dr. McCoy located?

10102 NE Glisan St, Portland, OR 97220-4456.

What is the taxonomy code for Dr. McCoy?

The primary taxonomy code is 1223P0300X – Periodontics.

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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