Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1245683911 Individual Practitioner Male Practitioner

Dr. Lance Bergeson , DMD

Dentist - General Practice • Portland, OR

Professional Overview & Biography Verified Profile Summary

Dr. Lance Bergeson, DMD is a registered healthcare professional specializing in Dentist - General Practice in Portland, OR. Practice services are available at 5071 NE 122ND AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5071 Ne 122nd Ave

Portland, OR 972301003

Telephone 5032555700

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Portland, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.0 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
448 Specialists

Practicing in Portland, 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 D10462

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License WA DE60647187

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

3 Associated Practitioners
Krista Moore , RDH

Dental Hygienist

NPI 1063870095

Registered Dental Hygienist

Dr. Kody Crook , DMD

Dentist - General Practice

NPI 1114651460

Doctor of Dental Medicine

Dr. Nathan Dustin , DMD

Dentist - General Practice

NPI 1982792636

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 19, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location July 19, 2016

Registered at 5071 NE 122ND AVE, PORTLAND, OR 972301003 (Tel: 5032555700)

📍
Updated Business Mailing Address July 19, 2016

Registered at 5071 NE 122ND AVE, PORTLAND, OR 972301003 (Tel: 5032555700)

👤
Provider Name / Credentials Updated July 19, 2016

Recorded as LANCE BERGESON, D.M.D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 19, 2016

Dentist (License #D10462 in OR)

🟢
Initial NPI Registration & Enumeration July 19, 2016

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: 1245683911
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 19, 2016
Last Update: July 19, 2016
Sole Proprietor: No

Mailing Address

5071 Ne 122nd Ave

Portland, OR 972301003

Phone: 5032555700

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.