Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tigard City Dental PC

Organization Dentist · NPI 1184071003

Tigard City Dental PC provides Dentist services in Tigard, Oregon. Licensed in Oregon. Registered with an NPI since 2016.

Licensed in
OR
In the registry since
2016
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

11565 SW Hall Blvd Ste A
Tigard, OR 97223-8493 Not confirmed with CMS for 10 years — call before visiting
Phone: (503) 620-2131
Fax: (503) 620-0505
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D6995 (OR)

Record details

NPI number1184071003
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Chung — Owner · (503) 679-7730
NPI enumeratedMay 20, 2016
Last updated in NPPESMay 20, 2016
Mailing address11565 Sw Hall Blvd, Ste A, Tigard, OR 97223-8493

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