OrganizationActive
Bridgeport Family Dental, LLC
NPI 1740553106 · Dentist · Tigard, OR
Bridgeport Family Dental, LLC is a Dentist organization in Tigard, OR (NPI 1740553106).
Provider details
- NPI number
- 1740553106
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Kelly Johnson, Owner/Dentist(503) 430-7909
- License
- D7482 (OR)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
7420 Sw Bridgeport Rd Ste 104
Tigard, OR 97224-7790
Phone: (503) 430-7909
Fax: (503) 268-1501
Street-level locationGet directions
Mailing address
7420 Sw Bridgeport Rd Ste 104
Tigard, OR 97224-7790
Registry dates
- Enumerated
- 2012-02-15
- Last updated
- 2012-02-15
Frequently asked questions
- What is Bridgeport Family Dental, LLC's NPI number?
- Bridgeport Family Dental, LLC's National Provider Identifier (NPI) is 1740553106, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bridgeport Family Dental, LLC?
- Bridgeport Family Dental, LLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Bridgeport Family Dental, LLC located?
- Bridgeport Family Dental, LLC's practice location on file with NPPES is 7420 Sw Bridgeport Rd Ste 104, Tigard, OR 97224-7790.
- What is Bridgeport Family Dental, LLC's phone number?
- The practice phone number listed in the NPPES registry for Bridgeport Family Dental, LLC is (503) 430-7909.
- Who is the authorized official for Bridgeport Family Dental, LLC?
- The authorized official listed on Bridgeport Family Dental, LLC's NPPES record is Kelly Johnson, Owner/Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bridgeport Family Dental, LLC's NPI active?
- Yes — Bridgeport Family Dental, LLC's NPI (1740553106) is active in the NPPES registry as of the last update on 2012-02-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.