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

Dmitry Keysalov, DDS

Individual provider Dentist · NPI 1841736634

Dmitry Keysalov, DDS is a Dentist in Tualatin, Oregon. Licensed in Oregon. Registered with an NPI since 2017.

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

7017 SW Nyberg St
Tualatin, OR 97062-6243
Phone: (503) 612-8736
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D11923 (OR)

Record details

NPI number1841736634
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJanuary 17, 2017
Last updated in NPPESOctober 9, 2024
Certification dateOctober 9, 2024
Mailing address6682 Sw Brisband St, Wilsonville, OR 97070-6905

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