BULL MOUNTAIN FAMILY DENTAL
NPI 1174657217
Dentist in Tigard, OR

Active since March 14, 2007
15885 SW 116TH AVE, TIGARD, OR 97224(503) 639-5025(503) 684-1391 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bull Mountain Family Dental NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BULL MOUNTAIN FAMILY DENTAL (NPI 1174657217) is a healthcare organization registered as a dentist in Tigard, Oregon and active in the NPI registry since March 2007. The organization lists Dimitrios John Vareldzis, President, as its authorized official.

NPPES Registry Identity

NPI1174657217
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameDIMITRIOS J. VARELDZIS DDS, PC
Location Address15885 SW 116TH AVETigard, OR 97224-2647
Mailing Address15885 Sw 116th AveTigard, OR 97224-2647 · (503) 639-5025 · Fax (503) 684-1391
Fax(503) 684-1391
Organization SubpartNo
Authorized OfficialDimitrios John VareldzisPresident · (503) 639-5025
Enumeration DateMarch 14, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1174657217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in OR · D6471
Definition
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.
15885 SW 116TH AVE, Tigard, OR 97224

Other Names 1

Doing Business AsBull Mountain Family Dental

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Dental)
15885 SW 116TH AVE
KING CITY, OR 97224
Dentist (General Practice)
15885 SW 116TH AVE
TIGARD, OR 97224
Dentist (General Practice)
15885 SW 116TH AVE
TIGARD, OR 97224

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dimitrios J. Vareldzis Dds, PC's NPI number?

The NPI number for Dimitrios J. Vareldzis Dds, PC is 1174657217. It was assigned to this organization in the NPPES registry on March 14, 2007. The provider is doing business as Bull Mountain Family Dental.

Where is Dimitrios J. Vareldzis Dds, PC located?

Dimitrios J. Vareldzis Dds, PC is located at 15885 SW 116th Ave, Tigard, OR 97224. The listed phone number is (503) 639-5025.

What is Dimitrios J. Vareldzis Dds, PC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Dimitrios J. Vareldzis Dds, PC was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.