Active NPIOrganization

Bruno Da Costa Ddd,ms,pc

Dentist, General Practice in Tigard, Oregon

NPI Number1780851105
Practice location
11995 SW Pacific Hwy, Tigard, OR 97223-6474
Fax
503-684-8167
Last updated
May 14, 2008

Bruno Da Costa Ddd,ms,pc is a healthcare organization based in Tigard, OR. Bruno Da Costa Ddd,ms,pc practices in Tigard, OR. The NPI Number for Bruno Da Costa Ddd,ms,pc is 1780851105 and holds a License No. D8550 (OR). The current practice location address for Bruno Da Costa Ddd,ms,pc is 11995 SW Pacific Hwy, Tigard, OR 97223-6474 and can be reached out via phone at 503-639-6900 and via fax at 503-684-8167.

Provider Profile Details

NPI Number
1780851105
Provider Name
Bruno Da Costa Ddd,ms,pc
Provider Entity Type
Organization
Address
11995 SW Pacific Hwy, Tigard, OR 97223-6474
Phone Number
503-639-6900
Fax Number
503-684-8167
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Dr. Bruno Cristalli Da Costa, DDS, MS · Owner/President · 503-639-6900
Other Names
Da Costa Dental (Other Name)
Provider Enumeration Date
May 14, 2008
Last Update Date
May 14, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
11995 SW Pacific Hwy
Tigard, OR 97223-6474
City
Tigard
State
Oregon
Zip
97223-6474
Phone Number
503-639-6900
Fax Number
503-684-8167
Tigard, OR 97223Get directions →

Provider Business Mailing Address Details

Address
11995 SW Pacific Hwy
Tigard, OR 97223-6474
City
Tigard
State
OR
Zip
97223-6474
Phone Number
503-639-6900
Fax Number
503-684-8167

License Information

License Number
D8550
License State
OR
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Bruno Da Costa Ddd,ms,pc?

The NPI number of Bruno Da Costa Ddd,ms,pc is 1780851105. It was assigned on May 14, 2008 and is currently active in the NPPES registry.

What is the specialty of Bruno Da Costa Ddd,ms,pc?

Bruno Da Costa Ddd,ms,pc is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in OR under license number D8550.

Where does Bruno Da Costa Ddd,ms,pc practice?

The practice location is 11995 SW Pacific Hwy, Tigard, OR 97223-6474. The office can be reached at 503-639-6900 (phone) or 503-684-8167 (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 1780851105 directly on the NPPES registry website.

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