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CEDAR HILLS MODERN DENTISTRY
NPI 1043724917
Dentist - General Practice in Beaverton, OR

Active since November 29, 2017
2905 SW CEDAR HILLS BLVD STE 120, BEAVERTON, OR 97005(503) 396-4071(503) 396-4071 Get Directions Write a Review

NPPES record last updated: March 9, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 9, 2022, Dec 11, 2017, Nov 29, 2017 (3 updates tracked since 2017).

About Cedar Hills Modern Dentistry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CEDAR HILLS MODERN DENTISTRY (NPI 1043724917) is a healthcare organization registered as a general practice in Beaverton, Oregon and active in the NPI registry since November 2017. The organization lists Kenny Tran, Owner Dentist, as its authorized official.

NPPES Registry Identity

NPI1043724917
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCEDAR HILLS MODERN DENTISTRY, PC
Location Address2905 SW CEDAR HILLS BLVD STE 120Beaverton, OR 97005-1342
Mailing AddressPo Box 920050Dallas, TX 75392-0050 · (714) 845-8500 · Fax (303) 952-0892
Phone(503) 396-4071
Fax(503) 396-4071
Organization SubpartNo
Authorized OfficialKenny TranOwner Dentist · (503) 396-4071
Enumeration DateNovember 29, 2017
Last NPPES UpdateMarch 9, 20223 updates tracked since enumeration
NPPES CertifiedMarch 9, 2022
✔ NPI 1043724917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
2905 SW CEDAR HILLS BLVD STE 120, Beaverton, OR 97005
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Other Names 1

Doing Business AsCedar Hills Modern Dentistry

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KAELAN PATEL DMD
Dentist (General Practice)
2905 SW CEDAR HILLS BLVD STE 120
BEAVERTON, OR 97005
Washington County (503) 396-4071
ADAM VASQUEZ DMD
Dentist
2905 SW CEDAR HILLS BLVD STE 120
BEAVERTON, OR 97005
Washington County (503) 396-4071

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cedar Hills Modern Dentistry, PC's NPI number?

The NPI number for Cedar Hills Modern Dentistry, PC is 1043724917. It was assigned to this organization in the NPPES registry on November 29, 2017. The provider is doing business as Cedar Hills Modern Dentistry.

Where is Cedar Hills Modern Dentistry, PC located?

Cedar Hills Modern Dentistry, PC is located at 2905 SW Cedar Hills Blvd Ste 120, Beaverton, OR 97005. The listed phone number is (503) 396-4071.

What is Cedar Hills Modern Dentistry, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Cedar Hills Modern Dentistry, PC was last updated on March 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.