OrganizationActive
Columbia Square Dental LLC
NPI 1962638205 · Dentist · Portland, OR
Columbia Square Dental LLC is a Dentist organization in Portland, OR (NPI 1962638205).
Provider details
- NPI number
- 1962638205
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- George Kang, Dentist(503) 224-0588
- License
- D9083 (OR)
Specialties & taxonomies
Dental Providers
Dental Providers
Dental Providers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
1320 Sw 2nd Ave
Portland, OR 97201-5833
Phone: (503) 224-0133
Fax: (503) 224-4750
Street-level locationGet directions
Mailing address
1320 Sw 2nd Ave
Portland, OR 97201-5833
Other names (DBA / former)
- Doing business as
- Green Apple Dental
Registry dates
- Enumerated
- 2009-06-01
- Last updated
- 2009-06-01
Frequently asked questions
- What is Columbia Square Dental LLC's NPI number?
- Columbia Square Dental LLC's National Provider Identifier (NPI) is 1962638205, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Columbia Square Dental LLC?
- Columbia Square Dental LLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Columbia Square Dental LLC located?
- Columbia Square Dental LLC's practice location on file with NPPES is 1320 Sw 2nd Ave, Portland, OR 97201-5833.
- What is Columbia Square Dental LLC's phone number?
- The practice phone number listed in the NPPES registry for Columbia Square Dental LLC is (503) 224-0133.
- Who is the authorized official for Columbia Square Dental LLC?
- The authorized official listed on Columbia Square Dental LLC's NPPES record is George Kang, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Columbia Square Dental LLC's NPI active?
- Yes — Columbia Square Dental LLC's NPI (1962638205) is active in the NPPES registry as of the last update on 2009-06-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.