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HOLLYWOOD FAMILY DENTISTRY
NPI 1902277551
Clinic/Center - Dental in Portland, OR

Active since October 08, 2015
1735 NE 40TH AVE, PORTLAND, OR 97212(503) 281-9612 Get Directions Write a Review

NPPES record last updated: October 8, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Hollywood Family Dentistry NPPES

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

HOLLYWOOD FAMILY DENTISTRY (NPI 1902277551) is a healthcare organization registered as a dental in Portland, Oregon and active in the NPI registry since October 2015. The organization lists Jeremy Kato, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1902277551
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameHOLLYWOOD FAMILY DENTISTRY
Location Address1735 NE 40TH AVEPortland, OR 97212-5307
Mailing Address1735 Ne 40th AvePortland, OR 97212-5307
Phone(503) 281-9612
Organization SubpartNo
Authorized OfficialJeremy KatoCo-owner · (503) 281-9612
Enumeration DateOctober 8, 2015
✔ NPI 1902277551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in OR · D8790
1735 NE 40TH AVE, Portland, OR 97212
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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 Hollywood Family Dentistry's NPI number?

The NPI number for Hollywood Family Dentistry is 1902277551. It was assigned to this organization in the NPPES registry on October 8, 2015.

Where is Hollywood Family Dentistry located?

Hollywood Family Dentistry is located at 1735 NE 40th Ave, Portland, OR 97212. The listed phone number is (503) 281-9612.

What is Hollywood Family Dentistry'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 Hollywood Family Dentistry was last updated on October 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.