Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Hollywood Family Dentistry

Organization Dental Clinic/Center · NPI 1902277551

Hollywood Family Dentistry is a Dental Clinic/Center in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2015.

Licensed in
OR
In the registry since
2015

Practice location Address checks out

1735 NE 40th Ave
Portland, OR 97212-5307
Phone: (503) 281-9612
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence D8790 (OR)

Record details

NPI number1902277551
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeremy Kato — Co-Owner · (503) 281-9612
NPI enumeratedOctober 8, 2015
Last updated in NPPESOctober 8, 2015
Mailing address1735 Ne 40th Ave, Portland, OR 97212-5307

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