Dr. Kelly Ann Dezura
D.M.D. | Oral and Maxillofacial Surgeon | 17+ years Exp
10181 Se Sunnyside Rd, Otolaryngology (ent), Clackamas
Oregon, 97015
510-571-4727 Maps & DirectionsDr. Kelly Ann Dezura is a Clackamas, Oregon based Oral and Maxillofacial Surgeon with
17 years of experience in
Oral and Maxillofacial Surgery. She completed her graduation from
Tufts University School Of Dental Medicine in 2008. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Kelly Ann Dezura is
D9858 for Oral and Maxillofacial Surgery in Oregon. Her current practice location is
10181 Se Sunnyside Rd, Otolaryngology (ent), Clackamas. Patients can reach her at
510-571-4727.
Dr. Kelly Ann Dezura deals with the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Complete Profile:
Dr. Kelly Ann Dezura speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Kelly Ann Dezura |
| Specialization: | Oral and Maxillofacial Surgeon |
| Gender: | Female |
| Credentials: | D.M.D. |
| Experience: | 17+ years |
| Medical School Attended: | Tufts University School Of Dental Medicine |
| Graduation Year: | 2008 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 10181 Se Sunnyside Rd, Otolaryngology (ent), Clackamas,
Oregon, 97015 |
| Phone: | 510-571-4727 |
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 are as mentioned below.
| PAC ID: | 1254566987 |
| Enrollment ID: | I20131104001683 |
| NPI Number: | 1306009881 |
| NPI Enumeration Date: | 06 Jul, 2008 |
| NPI Last Update On: | 28 Aug, 2013 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kelly Ann Dezura are as mentioned below.
| License Number | Specialization | State | Status | |
| D9858 | Oral and Maxillofacial Surgery | Oregon | Primary | |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Kelly Ann Dezura is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Kaiser Foundation Health Plan Of The Northwest (5799688230) | 1312 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 3717 Ne 12th Ave,
Portland, Oregon |
| Zip: | 97212-1241 |
| Phone Number: | 419-306-6443 |
Patients can reach Dr. Kelly Ann Dezura at
10181 Se Sunnyside Rd, Otolaryngology (ent), Clackamas, Oregon or can
call to book an appointment on 510-571-4727.
Comments/ Reviews:
Read all the reviews posted for Dr. Kelly Ann Dezura below. You may also share your own experience with Dr. Kelly Ann Dezura. Your feedback can help others make better decisions.
**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.