Benjamin Lively, DDS

Dentist · Portland, OR

Individual Active NPI

NPI number 1891226569

Practice location

2730 S Moody Ave
Portland, OR 97201-5042
Phone
(214) 726-6404

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NPI record

NPI
1891226569
Entity type
Individual (Type 1)
Enumeration date
March 24, 2017
Last updated
June 4, 2024
Certified
June 4, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X D10603 OR

About Dr. Lively

Benjamin Lively, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 2730 S Moody Ave, Portland, OR 97201-5042. The NPI number 1891226569 was assigned on March 24, 2017 and the record was last updated on June 4, 2024.

Dr. Lively lists a license in the registry: #D10603 (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 Benjamin Lively, DDS?

The NPI number is 1891226569.

What is the phone number of Dr. Lively?

The phone number listed for the practice location is (214) 726-6404.

Where is Dr. Lively located?

2730 S Moody Ave, Portland, OR 97201-5042.

What is the taxonomy code for Dr. Lively?

The primary taxonomy code is 122300000X – Dentist.

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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