Provider Demographics
NPI:1447246327
Name:SAYRE, CASEY H (DMD)
Entity type:Individual
Prefix:DR
First Name:CASEY
Middle Name:H
Last Name:SAYRE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:536 SE OAK ST
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97123-4118
Mailing Address - Country:US
Mailing Address - Phone:503-648-7775
Mailing Address - Fax:503-844-6352
Practice Address - Street 1:536 SE OAK ST
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97123-4118
Practice Address - Country:US
Practice Address - Phone:503-648-7775
Practice Address - Fax:503-844-6352
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-26
Last Update Date:2009-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR56701223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics