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Tigard Family Dental, PC

NPI 1205135118ActiveOrganization· Dentist, General Practice· Tigard, OR

Dentist, General Practice in Tigard, Oregon, registered in NPPES in March 2011. The authorized official on file is Rebecca Ann Martinez, Office Manager.

Overview

NPI1205135118
StatusActive
Entity typeOrganization
NPI issuedMar 17, 2011
Last updated in NPPESNov 28, 2012

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001XD7467OR

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Dentist, General Practice providers in Tigard

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