Jack Albert Henry, D.M.D.

General Practice Dentistry · Lake Oswego, OR

Individual Active NPI

NPI number 1306860556

Practice location

3993 Lake Grove Ave
Lake Oswego, OR 97035-4493
Phone
(503) 636-0055

Open in Google Maps

NPI record

NPI
1306860556
Entity type
Individual (Type 1)
Enumeration date
July 27, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X OR 5500 OR

Mailing address

18709 Mirkwood Dr
Lake Oswego, OR 97034-7507
Phone
(503) 638-0385

About Dr. Henry

Jack Albert Henry, D.M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 3993 Lake Grove Ave, Lake Oswego, OR 97035-4493. The NPI number 1306860556 was assigned on July 27, 2006 and the record was last updated on July 8, 2007.

Dr. Henry lists a license in the registry: #OR 5500 (OR) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jack Albert Henry, D.M.D.?

The NPI number is 1306860556.

What is the phone number of Dr. Henry?

The phone number listed for the practice location is (503) 636-0055.

Where is Dr. Henry located?

3993 Lake Grove Ave, Lake Oswego, OR 97035-4493.

What is the taxonomy code for Dr. Henry?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other General Practice Dentistry providers in Lake Oswego

All General Practice Dentistry providers in Lake Oswego, OR →