Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1538697974 Individual Practitioner Male Practitioner

Dr. Stephen Alexander Reller , DMD

Dentist • Vancouver, WA

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Reller, DMD is a registered healthcare professional specializing in Dentist in Vancouver, WA. Practice services are available at 16703 SE MCGILLIVRAY BLVD STE 100 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

16703 Se Mcgillivray Blvd Ste 100

Vancouver, WA 986833418

Telephone 5034771897
Associated Practice Facility / Clinic
🏢 Daniel E. Wilson, Dmd Pc Facility NPI 1669973160

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Vancouver, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.1 Yrs
Regional Practice Density
113 Specialists

Practicing in Vancouver, WA (2853 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: 2022-09-06
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License OR D10682

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Dentist

NUCC Taxonomy Code: 122300000X

State License WA DE61315076

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

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

2 Associated Practitioners
NPI 1972697845

Doctor of Dental Surgery

Dr. Daniel Wilson , DMD

Dentist - General Practice

NPI 1992820328

Doctor of Dental Medicine

Career & Practice History Timeline

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

17 Historical Events
📍
Updated Practice Location September 06, 2022

Registered at 16703 SE MCGILLIVRAY BLVD STE 100, VANCOUVER, WA 986833418 (Tel: 5034771897)

📍
Updated Business Mailing Address September 06, 2022

Registered at 19111 NE 24TH ST, VANCOUVER, WA 986841818 (Tel: 5034771897)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 06, 2022

Dentist (License #DE61315076 in WA)

📍
Updated Practice Location July 09, 2020

Registered at 1 WAHOO AVE, GROTON, CT 063492324 (Tel: 5034771897)

📍
Updated Business Mailing Address July 09, 2020

Registered at 95 ORION AVE, GROTON, CT 063402831 (Tel: 5034771897)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2020

Student in an Organized Health Care Education/Training Program

NPI Profile Active October 09, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location October 09, 2017

Registered at 1647 ADMIRAL TAUSSIG BLVD, NORFOLK, VA 235112803 (Tel: 5034771897)

📍
Updated Business Mailing Address October 09, 2017

Registered at 1092 SW WESTWOOD DR, PORTLAND, OR 972392747

👤
Provider Name / Credentials Updated October 09, 2017

Recorded as STEPHEN RELLER, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 09, 2017

Dentist (License #D10682 in OR)

NPI Profile Active May 30, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location May 30, 2017

Registered at 1092 SW WESTWOOD DR, PORTLAND, OR 972392747 (Tel: 5034771897)

📍
Updated Business Mailing Address May 30, 2017

Registered at 1092 SW WESTWOOD DR, PORTLAND, OR 972392747

👤
Provider Name / Credentials Updated May 30, 2017

Recorded as STEPHEN RELLER, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 30, 2017

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 30, 2017

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: 1538697974
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 30, 2017
Last Update: September 06, 2022
Sole Proprietor: No

Mailing Address

19111 Ne 24th St

Vancouver, WA 986841818

Phone: 5034771897

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.