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

Jacy A. Stauffer, DMD

Individual provider Pediatric Dentistry · NPI 1699974014

Jacy A. Stauffer, DMD is a Pediatric Dentistry in Portland, Oregon. Licensed in Maryland and Oregon. Registered with an NPI since 2007.

Licensed in
MD, OR
In the registry since
2007
Specialties on file
2
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

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (503) 418-5799
Fax: (503) 418-4750
Show map & directions

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

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence DF0053 (OR)
Pediatric Dentistry Taxonomy 1223P0221X · Licence LL738 (MD)

Record details

NPI number1699974014
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 16, 2007
Last updated in NPPESNovember 10, 2022
Certification dateNovember 10, 2022
Mailing address3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011

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