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Deactivated NPI 1922285162 Deactivated / Inactive NPI Male Practitioner

Dr. Russ Borneman , DDS

Dentist - General Practice • Anacortes, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Russ Borneman has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 30, 2008
NPI Deactivation Date May 28, 2019
Total Practice Duration ~11 Years of Practice (2008 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Russ Borneman, DDS was a registered Dentist - General Practice practicing in Anacortes, WA. Throughout an active medical career spanning 11 years, Dr. Borneman provided care at the practice location at 1218 29TH ST until profile deactivation on 2019-05-28.

Practice Location & Contact Primary Location

Practice Address

1218 29th St

Anacortes, WA 982212701

Telephone 3602938451
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Anacortes, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
13 Specialists

Practicing in Anacortes, WA (3345 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

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

1 Associated Practitioners
Dr. Roy Chen , DMD

Dentist - General Practice

NPI 1538298567

Doctor of Dental Medicine

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated May 28, 2019

Record deactivated on May 28, 2019

NPI Profile Active January 30, 2008

NPI status registered as active in NPPES database

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Updated Practice Location January 30, 2008

Registered at 1218 29TH ST, ANACORTES, WA 982212701 (Tel: 3602938451)

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Updated Business Mailing Address January 30, 2008

Registered at 1218 29TH ST, ANACORTES, WA 982212701 (Tel: 3602938451)

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Provider Name / Credentials Updated January 30, 2008

Recorded as RUSS BORNEMAN, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 30, 2008

Dentist

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Initial NPI Registration & Enumeration January 30, 2008

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: 1922285162
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 30, 2008
Last Update: January 30, 2008
Deactivation Date: May 28, 2019

Mailing Address

1218 29th St

Anacortes, WA 982212701

Phone: 3602938451

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.