Healthcare Provider Details

I. General information

NPI: 1366361255
Provider Name (Legal Business Name): JOY ANNA SIGURDSON DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 MAIN AVE
TILLAMOOK OR
97141-3818
US

IV. Provider business mailing address

1010 MAIN AVE
TILLAMOOK OR
97141-3818
US

V. Phone/Fax

Practice location:
  • Phone: 503-842-7788
  • Fax:
Mailing address:
  • Phone: 503-842-7788
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberD12376
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: