OrganizationActive
Tigard Dental
NPI 1104029446 · General Practice Dentistry · Tigard, OR
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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.