IndividualActive
Stacy Eden, DDS
NPI 1114248085 · Dentist · Tigard, OR
Provider details
- NPI number
- 1114248085
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- License
- D10481 (OR)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
11820 Sw King James Pl
J10
Tigard, OR 97224-2480
Phone: (503) 616-5000
Street-level locationGet directions
Mailing address
11820 Sw King James Pl
Tigard, OR 97224-2480
Registry dates
- Enumerated
- 2010-06-15
- Last updated
- 2020-06-11
- Certified
- 2020-06-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.