Danielle Ami Ploussard, DDS, MD is a
Oral & Maxillofacial Surgery based in Portland, Oregon. Danielle Ami Ploussard is licensed to practice in Oregon (license number D10939) and her current practice location is
11786 Sw Barnes Rd Ste 110, Portland, Oregon. She can be reached at her office (for appointments etc.) via phone at
(503) 444-6444.
NPI number for Danielle Ami Ploussard is 1841650777 and her current mailing address is 11786 Sw Barnes Rd Ste 110, Portland, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1841650777.
Healthcare Provider's Profile
| Full Name | Danielle Ami Ploussard |
|---|
| Gender | Female |
|---|
| Speciality | Oral & Maxillofacial Surgery |
|---|
| Location | 11786 Sw Barnes Rd Ste 110, Portland, Oregon |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1841650777
- Provider Enumeration Date: 03/04/2016
- Last Update Date: 08/22/2025
Medical Identifiers
Medical identifiers for Danielle Ami Ploussard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1841650777 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 122300000X | Dentist | DR60650631 (Washington) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | 2024-00524 (North Carolina) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | D10939 (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Danielle Ami Ploussard is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Danielle Ami Ploussard, DDS, MD 11786 Sw Barnes Rd Ste 110, Portland, OR 97225-5926 Ph: (503) 444-6444 | Danielle Ami Ploussard, DDS, MD 11786 Sw Barnes Rd Ste 110, Portland, OR 97225-5926 Ph: (503) 444-6444 |
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