Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1750883963 Individual Practitioner Male Practitioner

Dr. Kyle Edward Herndon , DDS

Dentist • Beaverton, OR

Professional Overview & Biography Verified Profile Summary

Dr. Kyle Herndon, DDS is a registered healthcare professional specializing in Dentist in Beaverton, OR. Practice services are available at 4925 SW GRIFFITH DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4925 Sw Griffith Dr

Beaverton, OR 970052923

Telephone 8554336825
Associated Practice Facility / Clinic
🏢 Willettedental Facility NPI 1710317482

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Beaverton, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
44 Specialists

Practicing in Beaverton, OR (1289 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-12-09
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License OR D11057

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003268319

Doctor of Dental Medicine

Dr. Jefferson Gourley , DDS

Dentist - Endodontics

NPI 1003941170

Doctor of Dental Surgery

Dr. Jonathan Kim , DDS

Dentist - General Practice

NPI 1013568294

Doctor of Dental Surgery

NPI 1023520574

Doctor of Dental Surgery

Dr. Myriam Hamieh , DMD, MS

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1023739224

Doctor of Dental Medicine, Master of Science

NPI 1023851755

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location December 09, 2021

Registered at 4925 SW GRIFFITH DR, BEAVERTON, OR 970052923 (Tel: 8554336825)

📍
Updated Business Mailing Address December 09, 2021

Registered at 6950 NE CAMPUS WAY, HILLSBORO, OR 971245611 (Tel: 8554336825)

📍
Updated Practice Location September 05, 2019

Registered at 9225 SE SUNNYSIDE RD STE 1, CLACKAMAS, OR 970156703 (Tel: 5039053380)

📍
Updated Business Mailing Address September 05, 2019

Registered at 9225 SE SUNNYSIDE RD STE 1, CLACKAMAS, OR 970156703 (Tel: 5039053380)

NPI Profile Active March 03, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location March 03, 2018

Registered at 4150 CLEMENT ST, SAN FRANCISCO, CA 941211563 (Tel: 4157502046)

📍
Updated Business Mailing Address March 03, 2018

Registered at 2410 STUART AVE # 1, RICHMOND, VA 232203414 (Tel: 7708765597)

👤
Provider Name / Credentials Updated March 03, 2018

Recorded as KYLE HERNDON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 03, 2018

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 03, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1750883963
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 03, 2018
Last Update: December 09, 2021
Sole Proprietor: Yes

Mailing Address

6950 Ne Campus Way

Hillsboro, OR 971245611

Phone: 8554336825

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.