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

Kody James Crook, DMD

Individual provider General Practice Dentistry · NPI 1114651460

Kody James Crook, DMD is a General Practice Dentistry in Portland, Oregon. Works from 2 locations. Licensed in Oregon.

Licensed in
OR
In the registry since
2022
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

5071 NE 122nd Ave
Portland, OR 97230-1003
Phone: (503) 255-5700
Show map & directions

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

Additional practice locations (1)

  • 36840 Industrial Way, Sandy, OR 97055-9254 — (503) 668-1300

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D11634 (OR)

Record details

NPI number1114651460
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 13, 2022
Last updated in NPPESJuly 13, 2022
Certification dateJuly 13, 2022
Mailing address5809 Se 29th Ter, Gresham, OR 97080-8608

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