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Search › Oregon › 122300000X

Kyle Herndon, DDS

NPI 1750883963 · on the registry since 2018 · sole proprietor

Practice

Address
4925 Sw Griffith Dr
Beaverton, OR 97005
Phone
(855) 433-6825
Organisation at this address
Willettedental
Willamette Dental
Willamette Dental
Willamette Dental
Willamette Dental Group
Inferred from a shared address, not stated in the registry.
Clinicians at this address
28

Registry record

Primary taxonomy
122300000X
122300000X
Also registered as
390200000X
Licence states on file
CA, OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-12-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon