- Practice location
- 2905 SW Cedar Hills Blvd Ste 120, Beaverton, OR 97005-1342
- Phone
- 503-396-4071
- Fax
- 503-396-4071
- Last updated
- March 9, 2022
Cedar Hills Modern Dentistry, PC is a healthcare organization based in Beaverton, OR. Cedar Hills Modern Dentistry, PC practices in Beaverton, OR. The NPI Number for Cedar Hills Modern Dentistry, PC is 1043724917. The current practice location address for Cedar Hills Modern Dentistry, PC is 2905 SW Cedar Hills Blvd Ste 120, Beaverton, OR 97005-1342 and can be reached out via phone at 503-396-4071 and via fax at 503-396-4071.
Provider Profile Details
- NPI Number
- 1043724917
- Provider Name
- Cedar Hills Modern Dentistry, PC
- Provider Entity Type
- Organization
- Address
- 2905 SW Cedar Hills Blvd Ste 120, Beaverton, OR 97005-1342
- Phone Number
- 503-396-4071
- Fax Number
- 503-396-4071
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Organization Subpart
- No
- Authorized Official
- Dr. Kenny Tran, DMD · Owner Dentist · 503-396-4071
- Other Names
- Cedar Hills Modern Dentistry (Doing Business As)
- Provider Enumeration Date
- November 29, 2017
- Last Update Date
- March 9, 2022
- Certification Date
- March 9, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2905 SW Cedar Hills Blvd Ste 120
Beaverton, OR 97005-1342 - City
- Beaverton
- State
- Oregon
- Zip
- 97005-1342
- Phone Number
- 503-396-4071
- Fax Number
- 503-396-4071
Provider Business Mailing Address Details
- Address
- Po Box 920050
Dallas, TX 75392-0050 - City
- Dallas
- State
- TX
- Zip
- 75392-0050
- Phone Number
- 714-845-8500
- Fax Number
- 303-952-0892
License Information
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Cedar Hills Modern Dentistry, PC?
The NPI number of Cedar Hills Modern Dentistry, PC is 1043724917. It was assigned on November 29, 2017 and is currently active in the NPPES registry.
What is the specialty of Cedar Hills Modern Dentistry, PC?
Cedar Hills Modern Dentistry, PC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X).
Where does Cedar Hills Modern Dentistry, PC practice?
The practice location is 2905 SW Cedar Hills Blvd Ste 120, Beaverton, OR 97005-1342. The office can be reached at 503-396-4071 (phone) or 503-396-4071 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043724917 directly on the NPPES registry website.