person
Dr. Jeanine Lea Herzog, DMD
General Practice Dentistry in Portland, Oregon
NPI 1457429425

Jeanine Lea Herzog is a General Practice Dentistry based in Portland, OR and is specialized in General Practice. Jeanine Lea Herzog practices in Portland, OR and has the professional credentials of DMD. The NPI Number for Jeanine Lea Herzog is 1457429425 and holds a License No. 6133 (Oregon).

The current practice location address for Jeanine Lea Herzog is 3653 Se 34Th Ave, Portland, OR and can be reached out via phone at 503-665-9616 and via fax at 503-666-0852.

Location: 3653 Se 34Th Ave, Portland, OR, 97202-3034
person
Provider Profile Details
NPI Number
1457429425
Provider Name
Jeanine Lea Herzog
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
3653 Se 34Th Ave, Portland, OR, 97202-3034
Phone Number
503-665-9616
Fax Number
503-666-0852
Provider Enumeration Date
11/30/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3653 Se 34Th Ave
City
State
Zip
97202
Phone Number
503-665-9616
Fax Number
503-666-0852
person
Provider Business Mailing Address Details
Address
3653 Se 34Th Ave
City
State
Zip
97202
Phone Number
503-665-9616
Fax Number
503-666-0852
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
6133 (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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