BRIDGEPORT FAMILY DENTAL, LLC
NPI 1740553106
Dentist in Tigard, OR

Q: What is Bridgeport Family Dental, LLC's NPI number?

The NPI number for Bridgeport Family Dental, LLC is 1740553106. It was assigned to this organization in the NPPES registry on February 15, 2012.

Q: What is Bridgeport Family Dental, LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since February 15, 2012

7420 SW BRIDGEPORT RD STE 104, TIGARD, OR 97224(503) 430-7909(503) 268-1501 Get Directions Write a Review

NPPES record last updated: February 15, 2012. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Bridgeport Family Dental, Llc NPPES

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

BRIDGEPORT FAMILY DENTAL, LLC (NPI 1740553106) is a healthcare organization registered as a dentist in Tigard, Oregon and active in the NPI registry since February 2012. The organization lists Kelly Jean Johnson, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1740553106

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameBRIDGEPORT FAMILY DENTAL, LLC

Location Address7420 SW BRIDGEPORT RD STE 104Tigard, OR 97224-7790

Mailing Address7420 Sw Bridgeport Rd Ste 104Tigard, OR 97224-7790 · (503) 430-7909 · Fax (503) 268-1501

Phone(503) 430-7909

Fax(503) 268-1501

Organization SubpartNo

Authorized OfficialKelly Jean JohnsonOwner/dentist · (503) 430-7909

Enumeration DateFebruary 15, 2012

✔ NPI 1740553106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in OR · D7482

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

7420 SW BRIDGEPORT RD STE 104, 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

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 Bridgeport Family Dental, LLC's NPI number?

The NPI number for Bridgeport Family Dental, LLC is 1740553106. It was assigned to this organization in the NPPES registry on February 15, 2012.

Where is Bridgeport Family Dental, LLC located?

Bridgeport Family Dental, LLC is located at 7420 SW Bridgeport Rd Ste 104, Tigard, OR 97224. The listed phone number is (503) 430-7909.

What is Bridgeport Family Dental, LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Bridgeport Family Dental, LLC was last updated on February 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.