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TIGARD DENTAL
NPI 1104029446
Dentist - General Practice in Tigard, OR

Active since June 06, 2007
12720 SW PACIFIC HWY STE 2, TIGARD, OR 97223(503) 684-9017 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tigard Dental NPPES

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

TIGARD DENTAL (NPI 1104029446) is a healthcare organization registered as a general practice in Tigard, Oregon and active in the NPI registry since June 2007. The organization lists Jason J Wheeler, Owner, as its authorized official.

NPPES Registry Identity

NPI1104029446
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameTIGARD DENTAL
Location Address12720 SW PACIFIC HWY STE 2Tigard, OR 97223-6125
Mailing Address12720 Sw Pacific Hwy Ste 2Tigard, OR 97223-6125 · (503) 684-9017
Phone(503) 684-9017
Organization SubpartNo
Authorized OfficialJason J WheelerOwner · (503) 684-9017
Enumeration DateJune 6, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1104029446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in OR · 7862
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
12720 SW PACIFIC HWY STE 2, Tigard, OR 97223
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Other Identifiers 1

Other1205049251Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Tigard Dental's NPI number?

The NPI number for Tigard Dental is 1104029446. It was assigned to this organization in the NPPES registry on June 6, 2007.

Where is Tigard Dental located?

Tigard Dental is located at 12720 SW Pacific Hwy Ste 2, Tigard, OR 97223. The listed phone number is (503) 684-9017.

What is Tigard Dental's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Tigard Dental was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.