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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1720845415

Dr. Michael Badaoui, DMD is a Student in an Organized Health Care Education/Training Program in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2024.

Licensed in
OR
In the registry since
2024
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

2730 S Moody Ave
Portland, OR 97201-5042
Phone: (503) 494-8867
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D12172 (OR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1720845415
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedFebruary 29, 2024
Last updated in NPPESJune 13, 2025
Certification dateJune 13, 2025
Mailing address325 Brookline St, Newton, MA 02459-3151

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