Derek W. Conklin Dmd Pc is a Dental Clinic in Sandy, Oregon. It is located at 17471 Shelley Ave Ste A, Sandy, OR and its contact number is 503-668-4655. The authorized person for Derek W. Conklin Dmd Pc is Dr. Derek W. Conklin
who is President of the clinic and their contact number is 503-668-4655. The primary license number for Derek W. Conklin Dmd Pc is D8325 (Dentist) in Oregon.
Derek W. Conklin Dmd Pc Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Derek W. Conklin Dmd Pc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Derek W. Conklin Dmd Pc |
| Specialization: | Dentistry |
| Clinic Address: | 17471 Shelley Ave Ste A, Sandy,
Oregon, 97055-8084 |
| Phone: | 503-668-4655 |
| Fax: | 503-668-8755 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Derek W. Conklin |
| Position: | President |
| Contact Number: | 503-668-4655 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Derek W. Conklin Dmd Pc clinic are as mentioned below.
| NPI Number: | 1558635391 |
| NPI Enumeration Date: | 24 Feb, 2012 |
| NPI Last Update On: | 24 Feb, 2012 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Derek W. Conklin Dmd Pc are as mentioned below.
| Specialization | License Number | State | Status | |
| Dentist | D8325 | Oregon | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 243185 | Medicaid | Oregon | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Derek W. Conklin Dmd Pc
17471 Shelley Ave Ste A,
Sandy, Oregon |
| Zip: | 97055-8084 |
| Phone Number: | 503-668-4655 |
| Fax Number: | 503-668-8755 |
Patients can reach Derek W. Conklin Dmd Pc at
17471 Shelley Ave Ste A, Sandy, Oregon or can
call to book an appointment on 503-668-4655.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.