OrganizationActive
Bridgeport Dental LLC
NPI 1093086415 · Dental Clinic/Center · Tigard, OR
Provider details
- NPI number
- 1093086415
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Geroge Kang, DDS(503) 906-8600
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
18035 Sw Lower Boones Ferry Rd
Tigard, OR 97224-7228
Phone: (503) 906-8600
Fax: (503) 716-4607
Street-level locationGet directions
Mailing address
18035 Sw Lower Boones Ferry Rd
Tigard, OR 97224-7228
Registry dates
- Enumerated
- 2012-01-17
- Last updated
- 2012-01-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.