OrganizationActive
Bridgeport Dental LLC
NPI 1093086415 · Dental Clinic/Center · Tigard, OR
Bridgeport Dental LLC is a Dental Clinic/Center organization in Tigard, OR (NPI 1093086415).
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(81/100 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
Frequently asked questions
- What is Bridgeport Dental LLC's NPI number?
- Bridgeport Dental LLC's National Provider Identifier (NPI) is 1093086415, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bridgeport Dental LLC?
- Bridgeport Dental LLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Bridgeport Dental LLC located?
- Bridgeport Dental LLC's practice location on file with NPPES is 18035 Sw Lower Boones Ferry Rd, Tigard, OR 97224-7228.
- What is Bridgeport Dental LLC's phone number?
- The practice phone number listed in the NPPES registry for Bridgeport Dental LLC is (503) 906-8600.
- Who is the authorized official for Bridgeport Dental LLC?
- The authorized official listed on Bridgeport Dental LLC's NPPES record is Geroge Kang, DDS. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bridgeport Dental LLC's NPI active?
- Yes — Bridgeport Dental LLC's NPI (1093086415) is active in the NPPES registry as of the last update on 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.