| Bull Mt. Dental Images | |
|
11815 Sw King James Pl Ste 10 Tigard OR 97224-2479 | |
| (503) 968-6101 | |
| (503) 968-6717 |
| Full Name | Bull Mt. Dental Images |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11815 Sw King James Pl Ste 10, Tigard, Oregon |
| Authorized Official Name and Position | Rod C Johnson (OWNER) |
| Authorized Official Contact | 5039686101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bull Mt. Dental Images 11815 Sw King James Pl Ste 10 Tigard OR 97224-2479 Ph: (503) 968-6101 | Bull Mt. Dental Images 11815 Sw King James Pl Ste 10 Tigard OR 97224-2479 Ph: (503) 968-6101 |
| NPI Number | 1487784419 |
|---|---|
| Provider Enumeration Date | 03/07/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487784419 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D7075 (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 |