OrganizationActive
Family Health Centers
NPI 1205253176 · Dental Clinic/Center · Bridgeport, WA
Provider details
- NPI number
- 1205253176
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jesus Hernandez, Ceo(509) 422-5700
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
1015 Columbia
Bridgeport, WA 98813
Phone: (509) 686-0603
Fax: (509) 686-0610
Street-level locationGet directions
Mailing address
Po Box 1340
Okanogan, WA 98840-1340
Other names (DBA / former)
- Other name
- Fhc Bridgeport Dental
Registry dates
- Enumerated
- 2014-03-27
- Last updated
- 2021-01-19
- Certified
- 2021-01-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.