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STACY EDEN DDS
NPI 1114248085
Dentist in Tigard, OR

Active since June 15, 2010
11820 SW KING JAMES PL, J10, TIGARD, OR 97224(503) 616-5000 Get Directions Write a Review

NPPES record last updated: June 11, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 11, 2020, Mar 21, 2017 (2 updates tracked since 2017).

About Stacy Eden Dds NPPES

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

STACY EDEN DDS (NPI 1114248085) is an individual dentist in Tigard, Oregon, licensed in Oregon (D10481) and active in the NPI registry since June 2010.

NPPES Registry Identity

NPI1114248085
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameSTACY EDENCredential: DDS
Location Address11820 SW KING JAMES PL, J10Tigard, OR 97224-2480
Mailing Address11820 Sw King James Pl, J10Tigard, OR 97224-2480 · (503) 616-5000
Phone(503) 616-5000
Sole ProprietorNo
Enumeration DateJune 15, 2010
Last NPPES UpdateJune 11, 20202 updates tracked since enumeration
NPPES CertifiedJune 11, 2020
✔ NPI 1114248085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in OR · D10481
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
11820 SW KING JAMES PL, Tigard, OR 97224
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Other Providers at the Same Location NPPES 4

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

GREGORY A WILLIAMS D.M.D., PC
Dentist (General Practice)
11820 SW KING JAMES PL, SUITE #40
TIGARD, OR 97224
Washington County (503) 620-2020
DR. DAT DUC TRAN MD
Family Medicine
11820 SW KING JAMES PL, SUITE 30
KING CITY, OR 97224
Washington County (971) 226-2613
DR. HEATHER DIANE ROGERS D.D.S.
Dentist (General Practice)
11820 SW KING JAMES PL, SUITE 10J
TIGARD, OR 97224
Washington County (503) 616-5000
CONCIERGEHEALTH, LLC
Clinic/Center (Urgent Care)
11820 SW KING JAMES PL, SUITE 30
KING CITY, OR 97224
Washington County (971) 226-2613

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 Stacy Eden's NPI number?

The NPI number for Stacy Eden is 1114248085. It was assigned to this individual provider in the NPPES registry on June 15, 2010.

Where is Stacy Eden located?

Stacy Eden practices at 11820 SW King James Pl J10, Tigard, OR 97224. The listed phone number is (503) 616-5000.

What is Stacy Eden's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Stacy Eden was last updated on June 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.