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

Tigard Modern Dentistry and Orthodontics, PC

Organization General Practice Dentistry · NPI 1649640434

Tigard Modern Dentistry and Orthodontics, PC provides General Practice Dentistry in Tigard, Oregon. Registered with an NPI since 2015.

In the registry since
2015
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

12266 SW Scholls Ferry Rd
Tigard, OR 97223-3354
Phone: (503) 455-8483
Fax: (503) 521-0273
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1649640434
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vivian Lam — Owner · (503) 455-8483
Other names Tigard Modern Dentistry
NPI enumeratedOctober 6, 2015
Last updated in NPPESMarch 9, 2022
Certification dateMarch 9, 2022
Mailing addressPo Box 920050, Dallas, TX 75392-0050

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