Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Fourth Street Family Dental, PC

Organization Dentist · NPI 1447672142

Fourth Street Family Dental, PC provides Dentist services in Hermiston, Oregon. Licensed in Oregon. Registered with an NPI since 2014.

Licensed in
OR
In the registry since
2014
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

530 SE 4th St
Hermiston, OR 97838-2416 Not confirmed with CMS for 12 years — call before visiting
Phone: (541) 567-1693
Fax: (541) 567-2840
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D6986 (OR)

Record details

NPI number1447672142
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gregory Jones — Owner · (541) 567-1693
NPI enumeratedJanuary 15, 2014
Last updated in NPPESJanuary 15, 2014
Mailing address530 Se 4th Street, Hermiston, OR 97838

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