Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1508137340 Individual Practitioner Male Practitioner

Dr. Kenneth Jang , DDS

Dentist - General Practice • Portland, OR

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Jang, DDS is a registered healthcare professional specializing in Dentist - General Practice in Portland, OR. Practice services are available at 5805 SE MILWAUKIE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5805 Se Milwaukie Ave

Portland, OR 972025255

Telephone 5032335825
Associated Practice Facility / Clinic

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

CMS Verified: 2024-05-15
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License OR D11754

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

1 Associated Practitioners
Dr. Susan Smith , DMD, PC

Dentist - General Practice

NPI 1740393925

Doctor of Dental Medicine, PC

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location May 15, 2024

Registered at 5805 SE MILWAUKIE AVE, PORTLAND, OR 972025255 (Tel: 5032335825)

📍
Updated Business Mailing Address May 15, 2024

Registered at 5805 SE MILWAUKIE AVE, PORTLAND, OR 972025255 (Tel: 5032335825)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 15, 2024

Dentist (License #D11754 in OR)

NPI Profile Active August 13, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location August 13, 2014

Registered at 1919 VISTA DEL LAGO DR, #11, VALLEY SPRINGS, CA 952529294 (Tel: 2097720375)

📍
Updated Business Mailing Address August 13, 2014

Registered at 8228 CRYSTAL WALK CIR, ELK GROVE, CA 957588081 (Tel: 9095538390)

👤
Provider Name / Credentials Updated August 13, 2014

Recorded as KENNETH JANG, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 13, 2014

Dentist (License #60901 in CA)

🟢
Initial NPI Registration & Enumeration January 25, 2012

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: 1508137340
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 25, 2012
Last Update: May 15, 2024
Sole Proprietor: Yes

Mailing Address

5805 Se Milwaukie Ave

Portland, OR 972025255

Phone: 5032335825

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.