Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1477076727 Individual Practitioner Male Practitioner

Dr. Brian Benasa Bardeloza , DDS

Dentist - General Practice • Vancouver, WA

Professional Overview & Biography Verified Profile Summary

Dr. Brian Bardeloza, DDS is a registered healthcare professional specializing in Dentist - General Practice in Vancouver, WA. Practice services are available at 605 SE 164TH AVE STE 103 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

605 Se 164th Ave Ste 103

Vancouver, WA 98684

Telephone 3608820222
Associated Practice Facility / Clinic
🏢 Gary W. Allen, Dmd, Pc Facility NPI 1992281893

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Vancouver, WA

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

Practicing in Vancouver, 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

State License WA DE60876885

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 OR D10817

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.

Secondary Practice Locations

605 Se 164th Ave Ste 103

Vancouver, WA 98684

Phone: 3608820222

Practice Associates & Co-Workers

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

6 Associated Practitioners
Dr. Alvin Watanabe , DMD

Dentist - General Practice

NPI 1285675652

Doctor of Dental Medicine

Deanna Reijonen , RDH

Dental Hygienist

NPI 1659480473

Registered Dental Hygienist

NPI 1801382387

Doctor of Dental Surgery

Dr. Jennifer Ly , DMD

Dentist - General Practice

NPI 1851068506

Doctor of Dental Medicine

Dr. Dany Tse , DMD

Dentist - General Practice

NPI 1861421471

Doctor of Dental Medicine

Dr. Scott Mcclure , DDS

Dentist - General Practice

NPI 1902842032

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 September 14, 2018

Registered at 605 SE 164TH AVE STE 103, VANCOUVER, WA 98684 (Tel: 3608820222)

📍
Updated Business Mailing Address September 14, 2018

Registered at 14201 NE 20TH AVE STE B200, VANCOUVER, WA 986866412 (Tel: 3605718181)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 14, 2018

Dentist (License #D10817 in OR)

NPI Profile Active July 19, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location July 19, 2017

Registered at 3710 SW US VETERANS HOSPITAL RD., BLDG. 100, FLOOR 2, PORTLAND, OR 972392964 (Tel: 5032208262)

📍
Updated Business Mailing Address July 19, 2017

Registered at 301 SW LINCOLN ST APT 1011, PORTLAND, OR 972015031 (Tel: 2147837899)

👤
Provider Name / Credentials Updated July 19, 2017

Recorded as BRIAN BARDELOZA, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 19, 2017

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration July 19, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Brian Bardeloza. Be the first to share your experience!

Sign in to leave a review for Dr. Brian Bardeloza

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1477076727
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 19, 2017
Last Update: September 14, 2018
Sole Proprietor: No

Mailing Address

14201 Ne 20th Ave Ste B200

Vancouver, WA 986866412

Phone: 3605718181

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.