Individual provider · Type 1 NPI

Jeanine Lea Herzog, DMD

General Practice Dentistry · Portland, OR

NPI number 1457429425 Active

Practice location

3653 SE 34th Ave
Portland, OR 97202

Call (503) 665-9616 Map

Fax (503) 666-0852

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X6133 (OR)

General Practice Dentistry: 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.

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About NPI 1457429425

Jeanine Lea Herzog, DMD's National Provider Identifier is 1457429425, issued on Nov 30, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Portland, OR. The record was last updated on Jun 23, 2016.