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

Individual provider General Practice Dentistry · NPI 1366966533

Dr. Kristan Dyan Rodriguez, DDS is a General Practice Dentistry in Portland, Oregon. Works from 2 locations. 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.

See every abbreviation used in this directory →

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Practice location Address checks out

7615 SW Capitol Hwy
Portland, OR 97219-2436
Phone: (503) 244-3712
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 833 Sw 11th Ave Ste 300, Portland, OR 97205-2117 — (503) 224-7815

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D11075 (OR)

Record details

NPI number1366966533
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedJuly 31, 2017
Last updated in NPPESAugust 16, 2021
Certification dateJuly 26, 2021

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