HORACEK DENTAL
NPI 1114568029
Clinic/Center - Dental in Tigard, OR

Active since October 01, 2019
11815 SW KING JAMES PL STE 10, TIGARD, OR 97224(503) 433-8256 Get Directions Write a Review

NPPES record last updated: July 20, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 20, 2021, Dec 2, 2020, Oct 2, 2020 and 3 more (6 updates tracked since 2019).

About Horacek Dental NPPES

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

HORACEK DENTAL (NPI 1114568029) is a healthcare organization registered as a dental in Tigard, Oregon and active in the NPI registry since October 2019. The organization maintains 3 additional practice locations and lists Melody Bennion, Director Of Integrations, as its authorized official.

NPPES Registry Identity

NPI1114568029
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameSIGNATURE OREGON DENTAL PARTNERS PC
Location Address11815 SW KING JAMES PL STE 10Tigard, OR 97224-2479
Mailing Address410 N 44th St Ste 290Phoenix, AZ 85008-7622 · (480) 626-4154
Organization SubpartYesParent: Signature Dental Partners Llc
Authorized OfficialMelody BennionDirector Of Integrations · (480) 234-8490
Enumeration DateOctober 1, 2019
Last NPPES UpdateJuly 20, 20216 updates tracked since enumeration
NPPES CertifiedJuly 20, 2021
NPI 1114568029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
11815 SW KING JAMES PL STE 10, Tigard, OR 97224

Other Names 4

Doing Business AsHoracek Dental
Doing Business AsBroadway Family Dentistry
Doing Business AsOn Q Dentistry
Doing Business AsTotal Health Dental Care

Secondary Practice Locations 3

Location 15528 SE Powell BlvdPortland, OR 97206-2956 · Phone (503) 788-1008
Location 29211 SE Division StPortland, OR 97266-1452 · Phone (503) 254-2068
Location 3508 E Broadway AveMilton Freewater, OR 97862-1315 · Phone (541) 938-3363 · Fax (541) 938-3912

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Dentist
11815 SW KING JAMES PL STE 10
TIGARD, OR 97224
Dentist (General Practice)
11815 SW KING JAMES PL STE 10
TIGARD, OR 97224

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 Signature Oregon Dental Partners PC's NPI number?

The NPI number for Signature Oregon Dental Partners PC is 1114568029. It was assigned to this organization in the NPPES registry on October 1, 2019. The provider is doing business as Horacek Dental, Broadway Family Dentistry, On Q Dentistry and Total Health Dental Care.

Where is Signature Oregon Dental Partners PC located?

Signature Oregon Dental Partners PC is located at 11815 SW King James Pl Ste 10, Tigard, OR 97224. The listed phone number is (503) 433-8256.

What is Signature Oregon Dental Partners PC's specialty?

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

What insurance does Signature Oregon Dental Partners PC accept?

Health plans from UnitedHealthcare list Signature Oregon Dental Partners PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Signature Oregon Dental Partners PC was last updated on July 20, 2021. 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.