DR. JACK ALBERT HENRY D.M.D. - NPI 1306860556

Q: What is Jack Henry's NPI number?

The NPI number for Jack Henry is 1306860556. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Q: What is Jack Henry's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jack Henry was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

On this page

About Dr. Jack Albert Henry D.m.d. NPPES

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

DR. JACK ALBERT HENRY D.M.D. (NPI 1306860556) is an individual general practice provider in Lake Oswego, Oregon, licensed in Oregon (OR 5500) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1306860556

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JACK ALBERT HENRYCredential: D.M.D.

Location Address3993 LAKE GROVE AVELake Oswego, OR 97035-4493

Mailing Address18709 Mirkwood DrLake Oswego, OR 97034-7507 · (503) 638-0385

Phone(503) 636-0055

Sole ProprietorYes

Enumeration DateJuly 27, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1306860556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in OR · OR 5500

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.

3993 LAKE GROVE AVE, Lake Oswego, OR 97035

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

Other Providers at the Same Location NPPES

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

RYAN RANDOL DDS PC

Dentist (General Practice)

3993 LAKE GROVE AVE
LAKE OSWEGO, OR 97035

Clackamas County (503) 636-0055

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 Jack Henry's NPI number?

The NPI number for Jack Henry is 1306860556. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Jack Henry located?

Jack Henry practices at 3993 Lake Grove Ave, Lake Oswego, OR 97035. The listed phone number is (503) 636-0055.

What is Jack Henry's specialty?

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

What insurance does Jack Henry accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Jack Henry as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jack Henry was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.