| Bridgeport Family Dental, Llc | |
|
7420 Sw Bridgeport Rd Ste 104 Tigard OR 97224-7790 | |
| (503) 430-7909 | |
| (503) 268-1501 |
| Full Name | Bridgeport Family Dental, Llc |
|---|---|
| Speciality | Dentist |
| Location | 7420 Sw Bridgeport Rd Ste 104, Tigard, Oregon |
| Authorized Official Name and Position | Kelly Jean Johnson (OWNER/DENTIST) |
| Authorized Official Contact | 5034307909 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridgeport Family Dental, Llc 7420 Sw Bridgeport Rd Ste 104 Tigard OR 97224-7790 Ph: (503) 430-7909 | Bridgeport Family Dental, Llc 7420 Sw Bridgeport Rd Ste 104 Tigard OR 97224-7790 Ph: (503) 430-7909 |
| NPI Number | 1740553106 |
|---|---|
| Provider Enumeration Date | 02/15/2012 |
| Last Update Date | 02/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740553106 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D7482 (Oregon) | Primary |
Dental Professionals Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15495 Sw Sequoia Pkwy Ste 120, Tigard, OR 97224 Phone: 503-684-8445 | |
David Streiff Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7110 Sw Hazelfern Rd, Suite 240, Tigard, OR 97224 Phone: 503-431-3200 | |
Peter Douglas Dds Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12011 Sw 70th Ave, Tigard, OR 97223 Phone: 503-616-2024 Fax: 503-616-2328 | |
Bridgeport Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 18035 Sw Lower Boones Ferry Rd, Tigard, OR 97224 Phone: 503-906-8600 Fax: 503-716-4607 | |
Oregon Mobile Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11820 Sw King James Pl Ste 10j, Tigard, OR 97224 Phone: 503-616-5000 | |
Tigard Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12720 Sw Pacific Hwy Ste 2, Tigard, OR 97223 Phone: 503-684-9017 | |
Horacek Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11815 Sw King James Pl Ste 10, Tigard, OR 97224 Phone: 503-433-8256 |