Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1295796738 Individual Practitioner Male Practitioner

Dr. Samuel Higdon , DDS

Dentist - General Practice • Portland, OR

Professional Overview & Biography Verified Profile Summary

Dr. Samuel Higdon, DDS is a registered healthcare professional specializing in Dentist - General Practice in Portland, OR. Practice services are available at 2250 NW FLANDERS ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2250 Nw Flanders St
Ste 111

Portland, OR 972105409

Telephone 5032274844
Fax 5032431716
Associated Practice Facility / Clinic
🏢 Psychiatric Care Pc Facility NPI 1063468692

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Portland, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.0 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
448 Specialists

Practicing in Portland, OR (1994 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License OR 3965

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.

Practice Associates & Co-Workers

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

32 Associated Practitioners
NPI 1003898669

Doctor of Medicine (M.D.)

Mary Iannuccillo , MSW

Social Worker - Clinical

NPI 1023231982

Master of Social Work

Dr. William Shaw , DMD

Dentist - General Practice

NPI 1053408302

Doctor of Dental Medicine

Dr. Sandra Krussel , DO

Psychiatry & Neurology - Psychiatry

NPI 1073794988

Doctor of Osteopathic Medicine (D.O.)

Dr. Barbara Sax , MD

Psychiatry & Neurology - Psychiatry

NPI 1083783682

Doctor of Medicine (M.D.)

Dr. Ann Anthony , MD

Family Medicine

NPI 1104001007

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2250 NW FLANDERS ST, STE 111, PORTLAND, OR 972105409 (Tel: 5032274844)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2250 NW FLANDERS ST, STE 111, PORTLAND, OR 972105409 (Tel: 5032274844)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as SAMUEL HIGDON, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #3965 in OR)

🟢
Initial NPI Registration & Enumeration March 31, 2006

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: 1295796738
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 31, 2006
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

2250 Nw Flanders St, Ste 111

Portland, OR 972105409

Phone: 5032274844

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.