Dr. Kelly Ann Dezura

D.M.D. | Oral and Maxillofacial Surgeon | 12+ years Exp



  
  10181 Se Sunnyside Rd, Otolaryngology (ent), Clackamas
  Oregon, 97015

  510-571-4727    Maps & Directions
Dr. Kelly Ann Dezura is a Clackamas, Oregon based Oral and Maxillofacial Surgeon with 12 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. 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: 12+ 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

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)1279
Medicare Quality Reporting:
Medicare Quality Reporting consists of various programs like PQRS, EHR, MHI etc.
PQRS She does not participate in the Physician Quality Reporting System Incentive Program.
EHR She does not participate in the Electronic Health Record Incentive Program.
MHI She does not participate in the Million Hearts Initiative Program.
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 12 February, 2020.

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