Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1437486800 Individual Practitioner Female Practitioner

Dr. Kelly J Johnson , DDS

Dentist - General Practice • Tigard, OR

Professional Overview & Biography Verified Profile Summary

Dr. Kelly Johnson, DDS is a registered healthcare professional specializing in Dentist - General Practice in Tigard, OR. Practice services are available at 7420 SW BRIDGEPORT RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7420 Sw Bridgeport Rd
Suite 104

Tigard, OR 972247790

Telephone 5034307909
Fax 5032681501
Associated Practice Facility / Clinic
🏢 Bridgeport Family Dental, Llc Facility NPI 1740553106

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Tigard, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
47 Specialists

Practicing in Tigard, OR (1994 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License OR D7482

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 20, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location March 20, 2012

Registered at 7420 SW BRIDGEPORT RD, SUITE 104, TIGARD, OR 972247790 (Tel: 5034307909)

📍
Updated Business Mailing Address March 20, 2012

Registered at 7420 SW BRIDGEPORT RD, SUITE 104, TIGARD, OR 972247790 (Tel: 5034307909)

👤
Provider Name / Credentials Updated March 20, 2012

Recorded as KELLY JOHNSON, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 20, 2012

Dentist (License #D7482 in OR)

🟢
Initial NPI Registration & Enumeration November 05, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1437486800
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 05, 2009
Last Update: March 20, 2012
Sole Proprietor: No

Mailing Address

7420 Sw Bridgeport Rd, Suite 104

Tigard, OR 972247790

Phone: 5034307909

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.