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

John Bajusack DMD, PC

Organization General Practice Dentistry · NPI 1306538657

John Bajusack DMD, PC is a General Practice Dentistry in Portland, Oregon. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

511 SW 10th Ave Ste 704
Portland, OR 97205-2708
Phone: (503) 227-2883
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1306538657
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jenny Garcia-Rocha — Credentialing Lead · (972) 869-3789
Other names City Dental
NPI enumeratedMay 24, 2023
Last updated in NPPESMay 24, 2023
Certification dateMay 24, 2023
Mailing address511 Sw 10th Ave Ste 704, Portland, OR 97205-2708

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