HERMISTON DENTAL GROUP NPI 1356511158

NPI Information

  • NPI: 1356511158
  • Provider Name: HERMISTON DENTAL GROUP
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 540 SW 11TH ST
    HERMISTON, OR
    ZIP 97838
  • Phone: (541) 567-4143

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NPI Details

HERMISTON DENTAL GROUP is a general practice dentist in Hermiston, OR. The provider is 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. HERMISTON DENTAL GROUP NPI is 1356511158. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

540 SW 11TH ST
HERMISTON, OR
ZIP 97838-108
Phone: (541) 567-4143

The provider's authorized official is Pablo E Nicacio .
The authorized official title is Owner and has the following contact phone number (541) 567-4143.

The enumeration date for this NPI number is 3/7/2008 and was last updated on 3/7/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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