Dr. Kelly Ann Dezura, DMD
Dr. Kelly Ann Dezura, DMD is a Maxillofacial Surgery in Clackamas, Oregon. Graduated from Tufts University School of Dental Medicine in 2008, 18 years ago. Practices with Kaiser Foundation Health Plan of the Northwest, a 1,811-clinician group and accepts Medicare assignment. Licensed in Oregon.
- Years since qualifying
- 18
- Trained at
- Tufts University School of Dental Medicine
- Licensed in
- OR
- In the registry since
- 2008
What do these letters mean?
- DMD — Doctor of Dental Medicine
- A dentist. Identical training and licensing to a DDS.
Practice location Address checks out
10181 SE Sunnyside Rd Otolaryngology (ent)Clackamas, OR 97015
Phone: (510) 571-4727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Oral and Maxillofacial Surgery (Dentist) (primary) | Taxonomy 1223S0112X · Licence D9858 (OR) |
|---|
Record details
| NPI number | 1306009881 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | DMD |
| Sole proprietor | Yes |
| NPI enumerated | July 6, 2008 |
| Last updated in NPPES | August 28, 2013 |
Medicare enrollment
| Medicare specialty | MAXILLOFACIAL SURGERY |
|---|---|
| Medical school | TUFTS UNIVERSITY SCHOOL OF DENTAL MEDICINE |
| Graduated | 2008 (18 years in practice) |
| Group practice | Kaiser Foundation Health Plan Of The Northwest — 1811 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Other providers in Clackamas
-
Dr. John L Krump, DDS
9775 SE Sunnyside Rd Ste 600, Clackamas, OR 97015-5739 · (503) 652-8080
-
Brett Michael Sullivan, DMD, MD
11211 SE Sunnyside Rd, Clackamas, OR 97015-7787 · (503) 652-8080