DANIELLE AMI PLOUSSARD D.D.S. M.D. NPI 1841650777

NPI Information

NPI: 1841650777
Provider Name: DANIELLE AMI PLOUSSARD, D.D.S., M.D.
Classification: Oral & Maxillofacial Surgery - 204E00000X
Entity Type: Individual
PECOS Registration: Yes
Address: 11786 SW BARNES RD STE 110
PORTLAND, OR
ZIP 97225
Phone: (503) 444-6444

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NPI Details

Danielle Ami Ploussard, D.D.S., M.D. is an oral maxillofacial surgery in Portland, OR. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. Danielle Ami Ploussard, D.D.S., M.D. NPI is 1841650777. 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:

11786 SW BARNES RD STE 110
PORTLAND, OR
ZIP 97225-926
Phone: (503) 444-6444
Fax: (503) 444-4243

The NPI 1841650777 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 3/4/2016 and was last updated on 8/22/2025.

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	License Number	License State	Primary
1	390200000X	Student in an Organized Health Care Education/Training Program			No
2	204E00000X	Oral & Maxillofacial Surgery	2024-00524	NORTH CAROLINA	No
3	204E00000X	Oral & Maxillofacial Surgery	D10939	OREGON	Yes
4	122300000X	Dentist	DR60650631	WASHINGTON	No

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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