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

Kelly John Blodgett, DMD

Individual provider Dentist · NPI 1588796999

Kelly John Blodgett, DMD is a Dentist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2007.

Licensed in
OR
In the registry since
2007
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

522 SE Belmont St
Portland, OR 97214
Phone: (503) 285-3620
Fax: (503) 735-9015
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D7669 (OR)

Record details

NPI number1588796999
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedMarch 12, 2007
Last updated in NPPESJuly 8, 2007

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