IndividualActive
Jack Henry, D.M.D.
NPI 1306860556 · General Practice Dentistry · Lake Oswego, OR
Jack Henry, D.M.D. is a General Practice Dentistry provider in Lake Oswego, OR (NPI 1306860556).
Provider details
- NPI number
- 1306860556
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- OR 5500 (OR)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3993 Lake Grove Ave
Lake Oswego, OR 97035-4493
Phone: (503) 636-0055
Street-level locationGet directions
Mailing address
18709 Mirkwood Dr
Lake Oswego, OR 97034-7507
Registry dates
- Enumerated
- 2006-07-27
- Last updated
- 2007-07-08
Frequently asked questions
- What is Jack Henry's NPI number?
- Jack Henry's National Provider Identifier (NPI) is 1306860556, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack Henry's specialty?
- Jack Henry is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Jack Henry located?
- Jack Henry's practice location on file with NPPES is 3993 Lake Grove Ave, Lake Oswego, OR 97035-4493.
- What is Jack Henry's phone number?
- The practice phone number listed in the NPPES registry for Jack Henry is (503) 636-0055.
- Is Jack Henry's NPI active?
- Yes — Jack Henry's NPI (1306860556) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.