DR. BRAD S KING DMD
NPI 1699853143
Dentist - General Practice in Portland, OR

Active since November 01, 2006
4506 SE 105TH AVE, PORTLAND, OR 97266(503) 760-1818(503) 762-4064 Get Directions Write a Review

NPPES record last updated: October 27, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Brad S King Dmd NPPES

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

DR. BRAD S KING DMD (NPI 1699853143) is an individual general practice provider in Portland, Oregon, licensed in Oregon (D6080) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1699853143
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. BRAD S KINGCredential: DMD
Location Address4506 SE 105TH AVEPortland, OR 97266
Mailing AddressPmb 66636Portland, OR 97260 · (503) 760-1818 · Fax (503) 762-4064
Fax(503) 762-4064
Sole ProprietorNo
Enumeration DateNovember 1, 2006
Last NPPES UpdateOctober 27, 2016
NPI 1699853143 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 · D6080
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.

4506 SE 105TH AVE, Portland, OR 97266

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
4506 SE 105TH AVE
PORTLAND, OR 97266
Dentist
4506 SE 105TH AVE
PORTLAND, OR 97266

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699853143, enumerated as an "individual" on November 01, 2006.

The provider is located at 4506 SE 105TH AVE PORTLAND, OR 97266 and the phone number is (503) 760-1818.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: BridgeSpan Health Company, Delta Dental Plan of. Please consult your insurance carrier or call the provider to verify.