DR. SUNNY L DRAKE DMD MS NPI 1467683276

NPI Information

  • NPI: 1467683276
  • Provider Name: DR. SUNNY L DRAKE, DMD, MS
  • Classification: Dentist - 1223P0300X
  • Specialization: Periodontics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 22606 SW 104TH AVE
    TUALATIN, OR
    ZIP 97062
  • Phone: (971) 225-0756

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NPI Details

DR. Sunny L Drake, DMD, MS is a periodontics dentist in Tualatin, OR. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. DR. Sunny L Drake, DMD, MS NPI is 1467683276. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

22606 SW 104TH AVE
TUALATIN, OR
ZIP 97062-616
Phone: (971) 225-0756

The NPI 1467683276 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 7/29/2009 and was last updated on 11/4/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeD9324OREGONNo
2122300000XDentistD9324OREGONNo
31223P0300XDentistPeriodonticsD9324OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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