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Dr. Jack Albert Henry, DMD
General Practice Dentistry in Lake Oswego, Oregon
NPI 1306860556

Jack Albert Henry is a General Practice Dentistry based in Lake Oswego, OR and is specialized in General Practice. Jack Albert Henry practices in Lake Oswego, OR and has the professional credentials of DMD. The NPI Number for Jack Albert Henry is 1306860556 and holds a License No. OR 5500 (Oregon).

The current practice location address for Jack Albert Henry is 3993 Lake Grove Ave, Lake Oswego, OR and can be reached out via phone at 503-636-0055. You can also correspond with Jack Albert Henry through the mailing address at 18709 MIRKWOOD DR, LAKE OSWEGO, OR - 97034-7507 (mailing address contact number: 503-638-0385).

Location: 3993 Lake Grove Ave, Lake Oswego, OR, 97034-7507
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306860556
Provider Name
Jack Albert Henry
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
3993 Lake Grove Ave, Lake Oswego, OR, 97034-7507
Phone Number
503-636-0055
Fax Number
Provider Enumeration Date
07/27/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3993 Lake Grove Ave
City
Lake Oswego
State
Oregon
Zip
97035-4493
Phone Number
503-636-0055
Fax Number
person
Provider Business Mailing Address Details
Address
3993 Lake Grove Ave
City
Lake Oswego
State
Oregon
Zip
97035-4493
Phone Number
503-636-0055
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
OR 5500 (Oregon)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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