Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Derek W. Conklin DMD PC

Organization Dentist · NPI 1558635391

Derek W. Conklin DMD PC is a Dentist in Sandy, Oregon. Licensed in Oregon. Registered with an NPI since 2012.

Licensed in
OR
In the registry since
2012
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

17471 Shelley Ave Ste A
Sandy, OR 97055-8084
Phone: (503) 668-4655
Fax: (503) 668-8755
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D8325 (OR)

Record details

NPI number1558635391
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Derek Conklin — President · (503) 668-4655
NPI enumeratedFebruary 24, 2012
Last updated in NPPESFebruary 24, 2012
Mailing address17471 Shelley Ave Ste A, Sandy, OR 97055-8084

Other providers in Sandy