IndividualActive
Nicole Luong, DDS
NPI 1104982313 · Dentist · Portland, OR
Provider details
- NPI number
- 1104982313
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- License
- D7803 (OR)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 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 Se Stark St
Portland, OR 97233-1539
Phone: (503) 252-6133
Fax: (503) 257-6886
Street-level locationGet directions
Mailing address
10232 Se Champagne Ln
Happy Valley, OR 97086-7843
Registry dates
- Enumerated
- 2006-12-29
- Last updated
- 2014-01-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.