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BRIDGE CITY DENTAL, LLC
NPI 1154742252
Dentist - General Practice in Portland, OR

Active since December 17, 2013
4713 N LAGOON AVE, PORTLAND, OR 97217(503) 283-1433 Get Directions Write a Review

NPPES record last updated: December 17, 2013. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Bridge City Dental, Llc NPPES

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

BRIDGE CITY DENTAL, LLC (NPI 1154742252) is a healthcare organization registered as a general practice in Portland, Oregon and active in the NPI registry since December 2013. The organization lists Jon Robinson, Owner, as its authorized official.

NPPES Registry Identity

NPI1154742252
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBRIDGE CITY DENTAL, LLC
Location Address4713 N LAGOON AVEPortland, OR 97217-7644
Mailing Address4713 N Lagoon AvePortland, OR 97217-7644
Phone(503) 283-1433
Organization SubpartNo
Authorized OfficialJon RobinsonOwner · (503) 636-9800
Enumeration DateDecember 17, 2013
✔ NPI 1154742252 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 · D7364
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.
4713 N LAGOON AVE, Portland, OR 97217
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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

Other Providers at the Same Location NPPES

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

DR. HANNA KARLIN DMD
Dentist
4713 N LAGOON AVE
PORTLAND, OR 97217
Multnomah County (503) 283-1433

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 Bridge City Dental, LLC's NPI number?

The NPI number for Bridge City Dental, LLC is 1154742252. It was assigned to this organization in the NPPES registry on December 17, 2013.

Where is Bridge City Dental, LLC located?

Bridge City Dental, LLC is located at 4713 N Lagoon Ave, Portland, OR 97217. The listed phone number is (503) 283-1433.

What is Bridge City Dental, LLC'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 Bridge City Dental, LLC was last updated on December 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.