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

Benjamin Lively, DDS

Individual provider Dentist · NPI 1891226569

Benjamin Lively, DDS is a Dentist in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2017
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

2730 S Moody Ave
Portland, OR 97201-5042
Phone: (214) 726-6404
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D10603 (OR)

Record details

NPI number1891226569
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedMarch 24, 2017
Last updated in NPPESJune 4, 2024
Certification dateJune 4, 2024
Mailing address2730 S Moody Ave, Portland, OR 97201-5042

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