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LIFE BLOOM DENTAL LLC
NPI 1821654146
Clinic/Center - Dental in Portland, OR

Active since May 13, 2019
11786 SW BARNES RD STE 340, PORTLAND, OR 97225(503) 646-4600 Get Directions Write a Review

NPPES record last updated: May 13, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Life Bloom Dental Llc NPPES

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

LIFE BLOOM DENTAL LLC (NPI 1821654146) is a healthcare organization registered as a dental in Portland, Oregon and active in the NPI registry since May 2019. The organization lists Daniel Cho, Owner Dentist, as its authorized official.

NPPES Registry Identity

NPI1821654146
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameLIFE BLOOM DENTAL LLC
Location Address11786 SW BARNES RD STE 340Portland, OR 97225-5930
Mailing Address11786 Sw Barnes Rd Ste 340Portland, OR 97225-5930 · (503) 646-4600
Phone(503) 646-4600
Organization SubpartNo
Authorized OfficialDaniel ChoOwner Dentist · (971) 222-6511
Enumeration DateMay 13, 2019
✔ NPI 1821654146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
11786 SW BARNES RD STE 340, Portland, OR 97225
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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.

DR. DANIEL J CHO D.M.D.
Dentist (General Practice)
11786 SW BARNES RD STE 340
PORTLAND, OR 97225
Washington County (503) 646-4600
SIERRA NICOLE CORDELL RDH
Dental Hygienist
11786 SW BARNES RD STE 340
PORTLAND, OR 97225
Washington County (503) 646-4600

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 Life Bloom Dental LLC's NPI number?

The NPI number for Life Bloom Dental LLC is 1821654146. It was assigned to this organization in the NPPES registry on May 13, 2019.

Where is Life Bloom Dental LLC located?

Life Bloom Dental LLC is located at 11786 SW Barnes Rd Ste 340, Portland, OR 97225. The listed phone number is (503) 646-4600.

What is Life Bloom Dental LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Life Bloom Dental LLC was last updated on May 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.