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

Dr. Rusty Crofts Jr., DMD

Individual provider Dentist · NPI 1700456605

Dr. Rusty Crofts Jr., DMD is a Dentist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2021.

Licensed in
OR
In the registry since
2021
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

511 SW 10th Ave Ste 704
Portland, OR 97205-2708
Phone: (503) 227-2883
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D11625 (OR)

Record details

NPI number1700456605
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 1, 2021
Last updated in NPPESOctober 3, 2023
Certification dateOctober 3, 2023

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