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

Tigard City Dental PC

Organization Dentist · NPI 1184071003

Tigard City Dental PC is a Dentist in Tigard, Oregon. Licensed in Oregon. Registered with an NPI since 2016.

Licensed in
OR
In the registry since
2016
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11565 SW Hall Blvd Ste A
Tigard, OR 97223-8493
Phone: (503) 620-2131
Fax: (503) 620-0505
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D6995 (OR)

Record details

NPI number1184071003
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Chung — Owner · (503) 679-7730
NPI enumeratedMay 20, 2016
Last updated in NPPESMay 20, 2016
Mailing address11565 Sw Hall Blvd, Ste A, Tigard, OR 97223-8493

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