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

Mary Kaitlin Cardullo, DMD

Individual provider Dentist · NPI 1619638764

Mary Kaitlin Cardullo, 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

8568 SW Apple Way
Portland, OR 97225-1772
Phone: (503) 292-6773
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D11547 (OR)

Record details

NPI number1619638764
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedDecember 31, 2021
Last updated in NPPESDecember 31, 2021
Certification dateOctober 6, 2021

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