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TIGARD FAMILY DENTAL, PC
NPI 1205135118
Dentist - General Practice in Tigard, OR

Active since March 17, 2011
11820 SW KING JAMES PL STE 20, TIGARD, OR 97224(503) 620-2020 Get Directions Write a Review

NPPES record last updated: November 28, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tigard Family Dental, Pc NPPES

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

TIGARD FAMILY DENTAL, PC (NPI 1205135118) is a healthcare organization registered as a general practice in Tigard, Oregon and active in the NPI registry since March 2011. The organization lists Rebecca Ann Martinez, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1205135118
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameTIGARD FAMILY DENTAL, PC
Location Address11820 SW KING JAMES PL STE 20Tigard, OR 97224-2481
Mailing Address11820 Sw King James Pl Ste 20Tigard, OR 97224-2481 · (503) 620-2020
Phone(503) 620-2020
Organization SubpartNo
Authorized OfficialRebecca Ann MartinezOffice Manager · (503) 968-2901
Enumeration DateMarch 17, 2011
Last NPPES UpdateNovember 28, 2012
✔ NPI 1205135118 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 · D7467
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.
11820 SW KING JAMES PL STE 20, Tigard, OR 97224
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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. ROBERT LYLE MCCULLOUGH DMD
Dentist (General Practice)
11820 SW KING JAMES PL STE 20
TIGARD, OR 97224
Washington County (503) 968-2901

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 Family Dental, PC's NPI number?

The NPI number for Tigard Family Dental, PC is 1205135118. It was assigned to this organization in the NPPES registry on March 17, 2011.

Where is Tigard Family Dental, PC located?

Tigard Family Dental, PC is located at 11820 SW King James Pl Ste 20, Tigard, OR 97224. The listed phone number is (503) 620-2020.

What is Tigard Family Dental, PC'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 Family Dental, PC was last updated on November 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.