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BRIDGEPORT DENTAL LLC
NPI 1093086415
Clinic/Center - Dental in Tigard, OR

Active since January 17, 2012
18035 SW LOWER BOONES FERRY RD, TIGARD, OR 97224(503) 906-8600(503) 716-4607 Get Directions Write a Review

NPPES record last updated: January 17, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bridgeport Dental Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIDGEPORT DENTAL LLC (NPI 1093086415) is a healthcare organization registered as a dental in Tigard, Oregon and active in the NPI registry since January 2012. The organization lists Geroge Kang, Dds, as its authorized official.

NPPES Registry Identity

NPI1093086415
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameBRIDGEPORT DENTAL LLC
Location Address18035 SW LOWER BOONES FERRY RDTigard, OR 97224-7228
Mailing Address18035 Sw Lower Boones Ferry RdTigard, OR 97224-7228 · (503) 906-8600 · Fax (503) 716-4607
Phone(503) 906-8600
Fax(503) 716-4607
Organization SubpartNo
Authorized OfficialGeroge KangDds · (503) 906-8600
Enumeration DateJanuary 17, 2012
✔ NPI 1093086415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
18035 SW LOWER BOONES FERRY RD, Tigard, OR 97224
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BURING DENTAL LLC
Clinic/Center (Dental)
18035 SW LOWER BOONES FERRY RD
PORTLAND, OR 97224
Washington County (503) 906-8600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bridgeport Dental LLC's NPI number?

The NPI number for Bridgeport Dental LLC is 1093086415. It was assigned to this organization in the NPPES registry on January 17, 2012.

Where is Bridgeport Dental LLC located?

Bridgeport Dental LLC is located at 18035 SW Lower Boones Ferry Rd, Tigard, OR 97224. The listed phone number is (503) 906-8600.

What is Bridgeport Dental LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Bridgeport Dental LLC was last updated on January 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.