Bridgeport Family Dental, LLC
Bridgeport Family Dental, LLC provides Dentist services in Tigard, Oregon. Licensed in Oregon. Registered with an NPI since 2012.
- Licensed in
- OR
- In the registry since
- 2012
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
7420 SW Bridgeport Rd Ste 104Tigard, OR 97224-7790 Not confirmed with CMS for 14 years — call before visiting
Phone: (503) 430-7909
Fax: (503) 268-1501
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence D7482 (OR) |
|---|
Record details
| NPI number | 1740553106 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kelly Johnson — Owner/Dentist · (503) 430-7909 |
| NPI enumerated | February 15, 2012 |
| Last updated in NPPES | February 15, 2012 |
| Mailing address | 7420 Sw Bridgeport Rd Ste 104, Tigard, OR 97224-7790 |
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