- Practice location
- 18035 SW Lower Boones Ferry RD, Tigard, OR 97224-7228
- Phone
- 503-906-8600
- Fax
- 503-716-4607
- Last updated
- January 17, 2012
Bridgeport Dental LLC is a healthcare organization based in Tigard, OR. Bridgeport Dental LLC practices in Tigard, OR. The NPI Number for Bridgeport Dental LLC is 1093086415. The current practice location address for Bridgeport Dental LLC is 18035 SW Lower Boones Ferry RD, Tigard, OR 97224-7228 and can be reached out via phone at 503-906-8600 and via fax at 503-716-4607.
Provider Profile Details
- NPI Number
- 1093086415
- Provider Name
- Bridgeport Dental LLC
- Provider Entity Type
- Organization
- Address
- 18035 SW Lower Boones Ferry RD, Tigard, OR 97224-7228
- Phone Number
- 503-906-8600
- Fax Number
- 503-716-4607
- Primary Taxonomy
- Clinic/Center, Dental · 261QD0000X
- Organization Subpart
- No
- Authorized Official
- Geroge Kang, DDS · DDS · 503-906-8600
- Provider Enumeration Date
- January 17, 2012
- Last Update Date
- January 17, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 18035 SW Lower Boones Ferry RD
Tigard, OR 97224-7228 - City
- Tigard
- State
- Oregon
- Zip
- 97224-7228
- Phone Number
- 503-906-8600
- Fax Number
- 503-716-4607
Provider Business Mailing Address Details
- Address
- 18035 SW Lower Boones Ferry RD
Tigard, OR 97224-7228 - City
- Tigard
- State
- OR
- Zip
- 97224-7228
- Phone Number
- 503-906-8600
- Fax Number
- 503-716-4607
License Information
- License State
- OR
- Taxonomy
- Clinic/Center, Dental · 261QD0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Clinic/Center, Dental providers near Tigard, OR
View all Clinic/Center, Dental providers in Tigard →Frequently Asked Questions
What is the NPI number of Bridgeport Dental LLC?
The NPI number of Bridgeport Dental LLC is 1093086415. It was assigned on January 17, 2012 and is currently active in the NPPES registry.
What is the specialty of Bridgeport Dental LLC?
Bridgeport Dental LLC is registered under the primary taxonomy Clinic/Center, Dental (code 261QD0000X).
Where does Bridgeport Dental LLC practice?
The practice location is 18035 SW Lower Boones Ferry RD, Tigard, OR 97224-7228. The office can be reached at 503-906-8600 (phone) or 503-716-4607 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093086415 directly on the NPPES registry website.