TIGARD MODERN DENTISTRY
NPI 1649640434
Dentist - General Practice in Tigard, OR

Active since October 06, 2015
12266 SW SCHOLLS FERRY RD, TIGARD, OR 97223(503) 455-8483(503) 521-0273 Get Directions Write a Review

NPPES record last updated: March 9, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tigard Modern Dentistry NPPES

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

TIGARD MODERN DENTISTRY (NPI 1649640434) is a healthcare organization registered as a general practice in Tigard, Oregon and active in the NPI registry since October 2015. The organization lists Vivian Lam, Owner, as its authorized official.

NPPES Registry Identity

NPI1649640434
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameTIGARD MODERN DENTISTRY AND ORTHODONTICS, PC
Location Address12266 SW SCHOLLS FERRY RDTigard, OR 97223-3354
Mailing AddressPo Box 920050Dallas, TX 75392-0050 · (714) 845-8890 · Fax (949) 474-1495
Fax(503) 521-0273
Organization SubpartNo
Authorized OfficialVivian LamOwner · (503) 455-8483
Enumeration DateOctober 6, 2015
Last NPPES UpdateMarch 9, 2022
NPPES CertifiedMarch 9, 2022
NPI 1649640434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
12266 SW SCHOLLS FERRY RD, Tigard, OR 97223

Other Names 1

Doing Business AsTigard Modern Dentistry

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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
12266 SW SCHOLLS FERRY RD
TIGARD, OR 97223
Dentist (General Practice)
12266 SW SCHOLLS FERRY RD
TIGARD, OR 97223

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 Modern Dentistry And Orthodontics, PC's NPI number?

The NPI number for Tigard Modern Dentistry And Orthodontics, PC is 1649640434. It was assigned to this organization in the NPPES registry on October 6, 2015. The provider is doing business as Tigard Modern Dentistry.

Where is Tigard Modern Dentistry And Orthodontics, PC located?

Tigard Modern Dentistry And Orthodontics, PC is located at 12266 SW Scholls Ferry Rd, Tigard, OR 97223. The listed phone number is (503) 455-8483.

What is Tigard Modern Dentistry And Orthodontics, 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 Modern Dentistry And Orthodontics, PC was last updated on March 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.