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

Dr. John Samuel Nizic, DMD

Individual provider General Practice Dentistry · NPI 1215046834

Dr. John Samuel Nizic, DMD is a General Practice Dentistry in Gresham, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2006
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

60 NW 2nd St
Gresham, OR 97030-7222
Phone: (503) 665-3116
Fax: (503) 665-3563
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 4650 (OR)

Record details

NPI number1215046834
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedAugust 29, 2006
Last updated in NPPESJuly 8, 2007

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