Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Columbia Square Dental LLC

Organization Dentist · NPI 1962638205

Columbia Square Dental LLC is a Dentist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2009.

Licensed in
OR
In the registry since
2009
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1320 SW 2nd Ave
Portland, OR 97201-5833
Phone: (503) 224-0133
Fax: (503) 224-4750
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D8506 (OR)
Dentist Taxonomy 122300000X · Licence D9083 (OR)
Dentist Taxonomy 122300000X · Licence D9163 (OR)

Record details

NPI number1962638205
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official George Kang — Dentist · (503) 224-0588
Other names Green Apple Dental
NPI enumeratedJune 1, 2009
Last updated in NPPESJune 1, 2009
Mailing address1320 Sw 2nd Ave, Portland, OR 97201-5833

Other providers in Portland