Provider Type Icon

RCJ DENTAL PC NPI 1487784419


NPI Information

NPI: 1487784419
Provider Name: RCJ DENTAL PC

Doing Business As: BULL MT. DENTAL IMAGES

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
11815 SW KING JAMES PL STE 10
TIGARD, OR
ZIP 97224
Phone: (503) 968-6101
Get Directions

RCJ DENTAL PC is a general practice dentist in Tigard, OR. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. RCJ DENTAL PC NPI is 1487784419. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Bull Mt. Dental Images.

The provider's business location address is:

11815 SW KING JAMES PL STE 10
TIGARD, OR
ZIP 97224-479
Phone: (503) 968-6101
Fax: (503) 968-6717

The provider's authorized official is Rod C Johnson .
The authorized official title is Owner and has the following contact phone number (503) 968-6101.

The enumeration date for this NPI number is 3/7/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeD7075OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.