Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1780706226 Individual Practitioner Male Practitioner

Dr. Bao Pham , DMD

Dentist - General Practice • Tigard, OR

Professional Overview & Biography Verified Profile Summary

Dr. Bao Pham, DMD is a registered healthcare professional specializing in Dentist - General Practice in Tigard, OR. Practice services are available at 10115 SW NIMBUS AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

10115 Sw Nimbus Ave
Suite 350

Tigard, OR 972234349

Telephone 5036847868
Associated Practice Facility / Clinic
🏢 Capitol Dental Group, Pc Facility NPI 1598970162

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 D8162

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Gregory Delgado , DDS

Dentist - Oral and Maxillofacial Surgery

NPI 1538281068

Doctor of Dental Surgery

Dr. Nandini Tiruvallur , DMD

Dentist - General Practice

NPI 1679696884

Doctor of Dental Medicine

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 10115 SW NIMBUS AVE, SUITE 350, TIGARD, OR 972234349 (Tel: 5036847868)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1101 SE TECH CENTER DR, SUITE 195, VANCOUVER, WA 986835504

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as BAO PHAM, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #D8162 in OR)

🟢
Initial NPI Registration & Enumeration April 04, 2007

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: 1780706226
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 04, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

1101 Se Tech Center Dr, Suite 195

Vancouver, WA 986835504

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.