DR. BRIAN BENASA BARDELOZA (NPI# 1477076727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477076727 |
| Entity Type | Individual |
| Full Name | DR. BRIAN BENASA BARDELOZA |
| Credential | DDS |
| Practice Address |
605 Se 164th Ave Ste 103 Vancouver WA 98684 |
| Mailing Address |
14201 Ne 20th Ave Ste B200 Vancouver WA 98686-6412 |
| Practice Telephone | 3608820222 |
| Mailing Telephone | 3605718181 |
| Mailing Fax Number | 3605734022 |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2018-09-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
D10817 | OR | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DE60876885 | WA | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 605 Se 164th Ave Ste 103, Vancouver, WA 98684 | 3608820222 |
| Street Address |
605 SE 164TH AVE STE 103 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98684 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285291849 | Pacifica Sylvan Park LLC | Alzheimer Center (Dementia Center) | 2400 Ne 112th Avenue, Vancouver, WA 98684 | 2019-05-20 |
| 1699242826 | Heidi Ericka Jackson | Registered Nurse | 15606 Ne 12th Way, Vancouver, WA 98684 | 2018-10-25 |
| 1992226062 | Judith Moreno-castro | Massage Therapist | 2501 Ne 138th Ave., #60, Vancouver, WA 98684 | 2017-06-29 |
| 1346790706 | Samuel Joonsang Lee | Registered Nurse | 501 Se 172nd Ave Ste 210, Vancouver, WA 98684 | 2016-10-10 |
| 1912353178 | Cheryl A. Hamilton-jefferson | Counselor | 11818 Se Mill Plain Blvd Ste 311g, Vancouver, WA 98684 | 2016-05-06 |
| 1063866424 | Kim Forgione | Optometrist | 1900 Ne 162nd Ave Ste D103, Vancouver, WA 98684 | 2016-04-21 |
| 1700254257 | Desiree Haggart | Registered Nurse | 406 Se 131st St., Suite A101, Vancouver, WA 98684 | 2015-09-14 |
| 1215318068 | Paige M. King | Behavioral Analyst | 11818 Se Mill Plain Blvd Ste 203, Vancouver, WA 98684 | 2015-06-17 |
| 1417354366 | Amanda Hilkey, Lmp | Massage Therapist | 108 Se 24th Ave, Ste 9, Vancouver, WA 98684 | 2014-11-20 |
| 1174954911 | Susan Louise Kelsay | Marriage & Family Therapist | 201 Se 124th Ave., #203, Vancouver, WA 98684 | 2013-12-04 |
| Find all providers in zip 98684 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417565672 | Gideon Michael Arnett | Dentist | 811 Ne 112th Ave Ste 100, Vancouver, WA 98684-5115 | 2020-07-14 |
| 1144787342 | Alfordable Dental,llc | Dentist | 13720 Ne 28th St Ste A, Vancouver, WA 98682-8289 | 2019-02-23 |
| 1184139933 | Lalee Chialong Lo | Dentist | 918 Se 164th Ave Ste 200, Vancouver, WA 98683-9603 | 2017-12-01 |
| 1861918872 | Lara Kacherian | Dentist | 8720 Ne Centerpointe Dr Ste 221, Vancouver, WA 98665-1162 | 2017-08-21 |
| 1154874196 | Monica Calderon, Dmd Ps | Dentist | 2501 Ne 134th St Ste 202, Vancouver, WA 98686-3028 | 2016-07-26 |
| 1043665375 | Garden City Dental | Dentist | 8311 Ne Highway 99 Ste E, Vancouver, WA 98665-8877 | 2016-04-23 |
| 1033465018 | Julia Gourley | Dentist | 13510 Ne 84th St Ste 105, Vancouver, WA 98682-3092 | 2012-07-27 |
| 1306103106 | Lenna Jeanne Ostenson | Dentist | 2702 Ne 78th St Ste 104, Vancouver, WA 98665-0664 | 2012-04-18 |
| 1376814178 | Dane Andersen | Dentist | 2415 Ne 134th St Ste 307, Vancouver, WA 98686-3029 | 2012-01-25 |
| 1225318595 | Emily Rebekah Crosby | Dentist | 8101 Ne Parkway Dr, Ste F1/f2, Vancouver, WA 98662-7911 | 2011-08-18 |
| Find all providers in VANCOUVER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.