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

Tigard Modern Dentistry and Orthodontics, PC

Organization General Practice Dentistry · NPI 1649640434

Tigard Modern Dentistry and Orthodontics, PC is a General Practice Dentistry in Tigard, Oregon. Registered with an NPI since 2015.

In the registry since
2015
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

12266 SW Scholls Ferry Rd
Tigard, OR 97223-3354
Phone: (503) 455-8483
Fax: (503) 521-0273
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1649640434
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vivian Lam — Owner · (503) 455-8483
Other names Tigard Modern Dentistry
NPI enumeratedOctober 6, 2015
Last updated in NPPESMarch 9, 2022
Certification dateMarch 9, 2022
Mailing addressPo Box 920050, Dallas, TX 75392-0050

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