Organization · Type 2 NPI

Signature Oregon Dental Partners PC

Dental Clinic/Center · Tigard, OR

NPI number 1114568029 Active

Practice location

11815 SW King James Pl Ste 10
Tigard, OR 97224-2479

Call (503) 433-8256 Map

Mailing address

410 N 44th St Ste 290
Phoenix, AZ 85008-7622

Other practice locations

5528 SE Powell Blvd, Portland, OR 97206-2956 · (503) 788-1008
9211 SE Division St, Portland, OR 97266-1452 · (503) 254-2068
508 E Broadway Ave, Milton Freewater, OR 97862-1315 · (541) 938-3363

Specialties and licenses

Taxonomy	Code	License
Dental Clinic/Center Primary	261QD0000X	None listed

Dental Clinic/Center: Definition to come...

2 other providers at this address

Other dental clinic/center providers in Tigard

See all in Tigard →

NPI record

NPI: 1114568029
Entity type: Organization (Type 2)
Issued: Oct 1, 2019
Last updated: Jul 20, 2021
Status: Active
Subpart: Yes of Signature Dental Partners LLC

Other names

<unavail>
Broadway Family Dentistry · doing business as
Horacek Dental · doing business as
Horacek Dental · doing business as
On Q Dentistry · doing business as
Total Health Dental Care · doing business as

Authorized official

Melody Bennion
Director of Integrations
(480) 234-8490

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1114568029

Signature Oregon Dental Partners PC's National Provider Identifier is 1114568029, issued on Oct 1, 2019. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Tigard, OR. The record was last updated on Jul 20, 2021.