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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1750883963

Dr. Kyle Edward Herndon, DDS is a Student in an Organized Health Care Education/Training Program in Beaverton, Oregon. Practices as a sole proprietor. Licensed in California and Oregon.

Licensed in
CA, OR
In the registry since
2018
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

4925 SW Griffith Dr
Beaverton, OR 97005-2923
Phone: (855) 433-6825
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D11057 (OR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (CA)

Record details

NPI number1750883963
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedMarch 3, 2018
Last updated in NPPESDecember 9, 2021
Certification dateDecember 9, 2021
Mailing address6950 Ne Campus Way, Hillsboro, OR 97124-5611

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