Ivan John Konkin is a Portland, Oregon based Denturist. Active license number of Ivan John Konkin is DT-DO-10204635 for Denturism in Oregon. His current practice location is 12661 Se Powell Blvd Ste C, Portland. Patients can reach him at 503-655-4007.
Ivan John Konkin is a specialized dental care professional who is trained and works exclusively with patients requiring affordable custom denture placement, implant-supported dentures or tooth replacement. He examine patients who are missing some or all of their teeth, and can design, construct, repair and alter removable dentures.
Denturist cannot diagnose any other dental issues like dentists but they can make cosmetic dentures and craft the most complex of dental fixtures along with creating partial dentures to replace missing teeth, as well as complete dentures when no teeth are left on the lower or upper arch of the mouth.
Complete Profile:
Ivan John Konkin 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: | Ivan John Konkin |
| Specialization: | Denturist |
| Gender: | Male |
| Practice Address: | 12661 Se Powell Blvd Ste C, Portland, Oregon, 97236-3400 |
| Phone: | 503-655-4007 |
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.
| NPI Number: | 1265067615 |
| NPI Enumeration Date: | 05 Mar, 2020 |
| NPI Last Update On: | 06 Mar, 2020 |
Medical Licenses:
Denturists can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ivan John Konkin are as mentioned below.
| License Number | Specialization | State | Status | |
| DT-DO-10204635 | Denturism | Oregon | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 12661 Se Powell Blvd Ste C, Portland, Oregon |
| Zip: | 97236-3400 |
| Phone Number: | 503-655-4007 |
Patients can reach Ivan John Konkin at
12661 Se Powell Blvd Ste C, Portland, Oregon or can
call to book an appointment on 503-655-4007.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.