OrganizationActive
Tigard Dental
NPI 1104029446 · General Practice Dentistry · Tigard, OR
Tigard Dental is a General Practice Dentistry organization in Tigard, OR (NPI 1104029446).
Provider details
- NPI number
- 1104029446
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jason Wheeler, Owner(503) 684-9017
- License
- 7862 (OR)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
12720 Sw Pacific Hwy Ste 2
Tigard, OR 97223-6125
Phone: (503) 684-9017
Street-level locationGet directions
Mailing address
12720 Sw Pacific Hwy Ste 2
Tigard, OR 97223-6125
Registry dates
- Enumerated
- 2007-06-06
- Last updated
- 2020-08-22
Frequently asked questions
- What is Tigard Dental's NPI number?
- Tigard Dental's National Provider Identifier (NPI) is 1104029446, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tigard Dental?
- Tigard Dental is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Tigard Dental located?
- Tigard Dental's practice location on file with NPPES is 12720 Sw Pacific Hwy Ste 2, Tigard, OR 97223-6125.
- What is Tigard Dental's phone number?
- The practice phone number listed in the NPPES registry for Tigard Dental is (503) 684-9017.
- Who is the authorized official for Tigard Dental?
- The authorized official listed on Tigard Dental's NPPES record is Jason Wheeler, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tigard Dental's NPI active?
- Yes — Tigard Dental's NPI (1104029446) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.