BRUNO DA COSTA DDDMSPC NPI 1780851105

NPI Information

  • NPI: 1780851105
  • Provider Name: BRUNO DA COSTA DDD,MS,PC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Other Name: DA COSTA DENTAL
  • Address: 11995 SW PACIFIC HWY
    TIGARD, OR
    ZIP 97223
  • Phone: (503) 639-6900

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NPI Details

BRUNO DA COSTA DDD,MS,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. BRUNO DA COSTA DDD,MS,PC NPI is 1780851105. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Da Costa Dental.

The provider's business location address is:

11995 SW PACIFIC HWY
TIGARD, OR
ZIP 97223-474
Phone: (503) 639-6900
Fax: (503) 684-8167

The provider's authorized official is Bruno Cristalli Da Costa .
The authorized official title is Owner/president and has the following contact phone number (503) 639-6900.

The enumeration date for this NPI number is 5/14/2008 and was last updated on 5/14/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeD8550OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11275532384OTHEROREGONNPI TYPE 1

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: 11/21/2025

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