Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1801382387 Individual Practitioner Male Practitioner

Dr. Kristopher K Kostenko , DDS

Dentist • Vancouver, WA

Professional Overview & Biography Verified Profile Summary

Dr. Kristopher Kostenko, DDS is a registered healthcare professional specializing in Dentist in Vancouver, WA. Practice services are available at 14201 NE 20TH AVE STE A101 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

14201 Ne 20th Ave Ste A101

Vancouver, WA 98686

Telephone 3608820222
Associated Practice Facility / Clinic
🏢 Td Salmon Creek Llp Facility NPI 1811760200

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

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License OR D10835

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.

Secondary Practice Locations

5880 Ne Cornell Rd

Hillsboro, OR 971249075

Phone: 5036158600

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

Dr. Brian Bardeloza , DDS

Dentist - General Practice

NPI 1477076727

Doctor of Dental Surgery

Deanna Reijonen , RDH

Dental Hygienist

NPI 1659480473

Registered Dental Hygienist

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

7 Historical Events
📍
Updated Practice Location August 08, 2018

Registered at 14201 NE 20TH AVE STE A101, VANCOUVER, WA 98686 (Tel: 3608820222)

NPI Profile Active July 08, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2018

Registered at 14201 NE 20TH AVE STE A101, VANCOUVER, WA 986866411 (Tel: 3608820222)

📍
Updated Business Mailing Address July 08, 2018

Registered at 9511 NE HAZEL DELL AVE # B16, VANCOUVER, WA 986658157 (Tel: 5095284291)

👤
Provider Name / Credentials Updated July 08, 2018

Recorded as KRISTOPHER KOSTENKO, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2018

Dentist (License #D10835 in OR)

🟢
Initial NPI Registration & Enumeration July 08, 2018

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: 1801382387
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 08, 2018
Last Update: August 08, 2018
Sole Proprietor: No

Mailing Address

9511 Ne Hazel Dell Ave # B16

Vancouver, WA 986658157

Phone: 5095284291

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.