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

Dr. Sandra Ann McCoy, DMD

Individual provider Periodontics · NPI 1730108044

Dr. Sandra Ann McCoy, DMD is a Periodontics in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2006.

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

10102 NE Glisan St
Portland, OR 97220-4456
Phone: (503) 257-5959
Fax: (503) 408-1472
Show map & directions

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

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 5845 (OR)

Record details

NPI number1730108044
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 18, 2006
Last updated in NPPESJuly 8, 2007
Mailing address10102 Ne Glisan St, Portland, OR 97220-4456

Other providers in Portland