Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1487218095 Individual Practitioner Male Practitioner

Dr. Thomas Carleton Bordieri , DMD

Dentist - General Practice • Bend, OR

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Bordieri, DMD is a registered healthcare professional specializing in Dentist - General Practice in Bend, OR. Practice services are available at 2137 NE 4TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2137 Ne 4th St

Bend, OR 977013824

Telephone 5413894807
Associated Practice Facility / Clinic
🏢 Zack Porter D.d.s. Pc Facility NPI 1760863096

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Bend, OR

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

Practicing in Bend, 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

CMS Verified: 2021-06-17
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License OR D11421

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

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

4 Associated Practitioners
NPI 1013348952

Doctor of Dental Surgery

NPI 1295943306

Doctor of Dental Medicine

Dr. Mehdi Salari , DMD

Dentist - General Practice

NPI 1346248705

Doctor of Dental Medicine

Dr. Zack Porter , DDS

Dentist - General Practice

NPI 1871730440

Doctor of Dental Surgery

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location June 17, 2021

Registered at 2137 NE 4TH ST, BEND, OR 977013824 (Tel: 5413894807)

📍
Updated Business Mailing Address June 17, 2021

Registered at 2137 NE 4TH ST, BEND, OR 977013824 (Tel: 5413894807)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2021

Dentist (License #D11421 in OR)

NPI Profile Active April 29, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location April 29, 2019

Registered at 10833 LE CONTE AVE, LOS ANGELES, CA 900953075 (Tel: 3108259311)

📍
Updated Business Mailing Address April 29, 2019

Registered at 10833 LE CONTE AVE, LOS ANGELES, CA 900953075 (Tel: 3108259311)

👤
Provider Name / Credentials Updated April 29, 2019

Recorded as THOMAS BORDIERI, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 29, 2019

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 29, 2019

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: 1487218095
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 29, 2019
Last Update: June 17, 2021
Sole Proprietor: No

Mailing Address

2137 Ne 4th St

Bend, OR 977013824

Phone: 5413894807

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.