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HERITAGE DENTAL
NPI 1669759767
Clinic/Center - Dental in Portland, OR

Active since November 03, 2011
4511 SE HAWTHORNE BLVD, SUITE 101, PORTLAND, OR 97215(503) 231-8228(503) 231-5634 Get Directions Write a Review

NPPES record last updated: July 11, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Heritage Dental NPPES

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

HERITAGE DENTAL (NPI 1669759767) is a healthcare organization registered as a dental in Portland, Oregon and active in the NPI registry since November 2011. The organization lists Denise Jean Crane, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1669759767
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameHERITAGE DENTAL
Location Address4511 SE HAWTHORNE BLVD, SUITE 101Portland, OR 97215-3195
Mailing Address4511 Se Hawthorne Blvd, Suite 101Portland, OR 97215-3195 · (503) 231-8228 · Fax (503) 231-5634
Phone(503) 231-8228
Fax(503) 231-5634
Organization SubpartNo
Authorized OfficialDenise Jean CraneOffice Manager · (503) 231-8228
Enumeration DateNovember 3, 2011
Last NPPES UpdateJuly 11, 2013
✔ NPI 1669759767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
Licenses✔ Licensed in OR · 5651✔ Licensed in OR · 9096
4511 SE HAWTHORNE BLVD, Portland, OR 97215
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Other Providers at the Same Location NPPES 14

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

DR. JONNA ELIZABETH HONGO DMD
Dentist (General Practice)
4511 SE HAWTHORNE BLVD, STE 110
PORTLAND, OR 97215
Multnomah County (503) 656-8966
MARY ANNE STOWELL LCSW, PC
Social Worker (Clinical)
4511 SE HAWTHORNE BLVD, SUITE 114
PORTLAND, OR 97215
Multnomah County (503) 232-6868
MS. MARILYN REEDY POOL LCSW
Social Worker (Clinical)
4511 SE HAWTHORNE BLVD, SUITE 114
PORTLAND, OR 97215
Multnomah County (503) 232-6868
DR. KUHN R. MARSHALL DMD
Dentist (General Practice)
4511 SE HAWTHORNE BLVD, SUITE 101
PORTLAND, OR 97215
Multnomah County (503) 231-8228
MS. DEBORAH LYNN DEMARCO LPC
Counselor
4511 SE HAWTHORNE BLVD, STE 114
PORTLAND, OR 97215
Multnomah County (503) 232-6868
MRS. BRIDGET GOLD REGO L.M.T.
Massage Therapist
4511 SE HAWTHORNE BLVD, SUITE 108
PORTLAND, OR 97215
Multnomah County (503) 869-5105
MARY ANNE STOWELL LCSW, PC
Social Worker (Clinical)
4511 SE HAWTHORNE BLVD, STE 114
PORTLAND, OR 97215
Multnomah County (503) 408-1759
DR. JONNA E. HONGO
Clinic/Center
4511 SE HAWTHORNE BLVD, SUITE 110
PORTLAND, OR 97215
Multnomah County (503) 235-4564

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 Heritage Dental's NPI number?

The NPI number for Heritage Dental is 1669759767. It was assigned to this organization in the NPPES registry on November 3, 2011.

Where is Heritage Dental located?

Heritage Dental is located at 4511 SE Hawthorne Blvd Suite 101, Portland, OR 97215. The listed phone number is (503) 231-8228.

What is Heritage Dental's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Heritage Dental was last updated on July 11, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.