| Tigard Dental | |
|
12720 Sw Pacific Hwy Ste 2 Tigard OR 97223-6125 | |
| (503) 684-9017 | |
| Not Available |
| Full Name | Tigard Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12720 Sw Pacific Hwy Ste 2, Tigard, Oregon |
| Authorized Official Name and Position | Jason J Wheeler (OWNER) |
| Authorized Official Contact | 5036849017 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tigard Dental 12720 Sw Pacific Hwy Ste 2 Tigard OR 97223-6125 Ph: (503) 684-9017 | Tigard Dental 12720 Sw Pacific Hwy Ste 2 Tigard OR 97223-6125 Ph: (503) 684-9017 |
| NPI Number | 1104029446 |
|---|---|
| Provider Enumeration Date | 06/06/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104029446 | NPI | - | NPPES |
| 1205049251 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7862 (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 | |
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 | |
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 | |
Richard A. Whipple D.d.s Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11525 Sw Durham Rd, Tigard, OR 97224 Phone: 503-620-6133 |