BRIDGEPORT DENTAL LLC – Dental Clinic/Center, NPI 1093086415

BRIDGEPORT DENTAL LLC is a healthcare provider. based in Tigard, Oregon. specializing in Dental Clinic/Center. The NPI Number for BRIDGEPORT DENTAL LLC is 1093086415

Main info

Organization
Name
BRIDGEPORT DENTAL LLC
NPI
1093086415
Phone
(503) 906-8600
Address
18035 SW LOWER BOONES FERRY RD
Authorized Official
GEROGE KANG DDS DDS
Enumeration Date
17 January 2012
Last Update Date
17 January 2012
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness75
Years active:14State licenses:0Digital endpointsOther names

Provider Addresses for BRIDGEPORT DENTAL LLC

  • 18035 SW LOWER BOONES FERRY RD

    TIGARD, OR 972247228

    Phone: (503) 906-8600

    Fax: (503) 716-4607

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97224)

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Reviews

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Frequently asked questions

What unique ID ties claims to BRIDGEPORT DENTAL LLC?
NPI 1093086415 is assigned to BRIDGEPORT DENTAL LLC under the national enumeration system.
Is BRIDGEPORT DENTAL LLC's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does BRIDGEPORT DENTAL LLC treat or focus on?
Patients typically see BRIDGEPORT DENTAL LLC under the specialty Dental Clinic/Center. Clinical services aligned with this taxonomy classification.
Where does public data place BRIDGEPORT DENTAL LLC?
The snapshot lists Tigard, Oregon for BRIDGEPORT DENTAL LLC; download NPPES for the complete set.
How can I contact BRIDGEPORT DENTAL LLC?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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