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

Dr. Jack Albert Henry, DMD

Individual provider General Practice Dentistry · NPI 1306860556

Dr. Jack Albert Henry, DMD is a General Practice Dentistry in Lake Oswego, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

3993 Lake Grove Ave
Lake Oswego, OR 97035-4493
Phone: (503) 636-0055
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence OR 5500 (OR)

Record details

NPI number1306860556
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedJuly 27, 2006
Last updated in NPPESJuly 8, 2007
Mailing address18709 Mirkwood Dr, Lake Oswego, OR 97034-7507

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