DA COSTA DENTAL
NPI 1780851105
Dentist - General Practice in Tigard, OR

Active since May 14, 2008
11995 SW PACIFIC HWY, TIGARD, OR 97223(503) 639-6900(503) 684-8167 Get Directions Write a Review

NPPES record last updated: May 14, 2008. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Da Costa Dental NPPES

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

DA COSTA DENTAL (NPI 1780851105) is a healthcare organization registered as a general practice in Tigard, Oregon and active in the NPI registry since May 2008. The organization lists Bruno Cristalli Da Costa, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1780851105
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBRUNO DA COSTA DDD,MS,PC
Location Address11995 SW PACIFIC HWYTigard, OR 97223-6474
Mailing Address11995 Sw Pacific HwyTigard, OR 97223-6474 · (503) 639-6900 · Fax (503) 684-8167
Fax(503) 684-8167
Organization SubpartNo
Authorized OfficialBruno Cristalli Da CostaOwner/president · (503) 639-6900
Enumeration DateMay 14, 2008
NPI 1780851105 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 · D8550
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.
11995 SW PACIFIC HWY, Tigard, OR 97223

Other Names 1

Other NameDa Costa Dental

Other Identifiers 1

Other1275532384OR · Npi Type 1

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 Bruno Da Costa Ddd,ms,pc's NPI number?

The NPI number for Bruno Da Costa Ddd,ms,pc is 1780851105. It was assigned to this organization in the NPPES registry on May 14, 2008. The provider is also known as Da Costa Dental.

Where is Bruno Da Costa Ddd,ms,pc located?

Bruno Da Costa Ddd,ms,pc is located at 11995 SW Pacific Hwy, Tigard, OR 97223. The listed phone number is (503) 639-6900.

What is Bruno Da Costa Ddd,ms,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 Bruno Da Costa Ddd,ms,pc was last updated on May 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.