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

Dr. Derek Conklin, DMD

Individual provider Dentist · NPI 1396868048

Dr. Derek Conklin, DMD is a Dentist in Sandy, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2007
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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 number1396868048
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedApril 9, 2007
Last updated in NPPESFebruary 28, 2012
Mailing address17471 Shelley Ave, Sandy, OR 97055-8084

Other providers in Sandy