Kyle Edward Herndon, DDS

Dentist · Beaverton, OR

Individual Active NPI

NPI number 1750883963

Practice location

4925 SW Griffith Dr
Beaverton, OR 97005-2923
Phone
(855) 433-6825

Open in Google Maps

NPI record

NPI
1750883963
Entity type
Individual (Type 1)
Enumeration date
March 3, 2018
Last updated
December 9, 2021
Certified
December 9, 2021
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X D11057 OR
Student in an Organized Health Care Education/Training Program 390200000X — CA

Mailing address

6950 NE Campus Way
Hillsboro, OR 97124-5611
Phone
(855) 433-6825

About Dr. Herndon

Kyle Edward Herndon, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 4925 SW Griffith Dr, Beaverton, OR 97005-2923. The NPI number 1750883963 was assigned on March 3, 2018 and the record was last updated on December 9, 2021.

Dr. Herndon lists a license in the registry: #D11057 (OR) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kyle Edward Herndon, DDS?

The NPI number is 1750883963.

What is the phone number of Dr. Herndon?

The phone number listed for the practice location is (855) 433-6825.

Where is Dr. Herndon located?

4925 SW Griffith Dr, Beaverton, OR 97005-2923.

What is the taxonomy code for Dr. Herndon?

The primary taxonomy code is 122300000X – Dentist; 1 more listed above.

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 Dentist providers in Beaverton

All Dentist providers in Beaverton, OR →