OrganizationActive
Beaverton Dental Group PC
NPI 1093110975 · General Practice Dentistry · Beaverton, OR
Beaverton Dental Group PC is a General Practice Dentistry organization in Beaverton, OR (NPI 1093110975).
Provider details
- NPI number
- 1093110975
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- John Lee, Owner(503) 644-1126
- License
- D7463 (OR)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
12755 Sw 2nd St
Beaverton, OR 97005-2767
Phone: (503) 644-1126
Street-level locationGet directions
Mailing address
12755 Sw 2nd St
Beaverton, OR 97005-2767
Registry dates
- Enumerated
- 2014-11-04
- Last updated
- 2014-11-04
Frequently asked questions
- What is Beaverton Dental Group PC's NPI number?
- Beaverton Dental Group PC's National Provider Identifier (NPI) is 1093110975, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Beaverton Dental Group PC?
- Beaverton Dental Group PC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Beaverton Dental Group PC located?
- Beaverton Dental Group PC's practice location on file with NPPES is 12755 Sw 2nd St, Beaverton, OR 97005-2767.
- What is Beaverton Dental Group PC's phone number?
- The practice phone number listed in the NPPES registry for Beaverton Dental Group PC is (503) 644-1126.
- Who is the authorized official for Beaverton Dental Group PC?
- The authorized official listed on Beaverton Dental Group PC's NPPES record is John Lee, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Beaverton Dental Group PC's NPI active?
- Yes — Beaverton Dental Group PC's NPI (1093110975) is active in the NPPES registry as of the last update on 2014-11-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.