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

Dr. Derek Conklin, DMD

Individual provider Dentist · NPI 1396868048

Dr. Derek Conklin, DMD is a Dentist in Sandy, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2007
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

17471 Shelley Ave Ste A
Sandy, OR 97055-8084
Phone: (503) 668-4655
Fax: (503) 668-8755
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D8325 (OR)

Record details

NPI number1396868048
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedApril 9, 2007
Last updated in NPPESFebruary 28, 2012

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