DR. LANCE BERGESON D.M.D
NPI 1245683911
Dentist - General Practice in Portland, OR

Q: What is Lance Bergeson's NPI number?

The NPI number for Lance Bergeson is 1245683911. It was assigned to this individual provider in the NPPES registry on July 19, 2016.

Q: What is Lance Bergeson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Lance Bergeson was last updated on July 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 19, 2016

5071 NE 122ND AVE, PORTLAND, OR 97230(503) 255-5700 Get Directions Write a Review

NPPES record last updated: July 19, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Lance Bergeson D.m.d NPPES

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

DR. LANCE BERGESON D.M.D (NPI 1245683911) is an individual general practice provider in Portland, Oregon, licensed in Oregon (D10462) and active in the NPI registry since July 2016.

NPPES Registry Identity

NPI1245683911

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. LANCE BERGESONCredential: D.M.D

Location Address5071 NE 122ND AVEPortland, OR 97230-1003

Mailing Address5071 Ne 122nd AvePortland, OR 97230-1003 · (503) 255-5700

Phone(503) 255-5700

Sole ProprietorNo

Enumeration DateJuly 19, 2016

✔ NPI 1245683911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Licenses✔ Licensed in OR · D10462✔ Licensed in WA · DE60647187

Definition

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.

5071 NE 122ND AVE, Portland, OR 97230

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

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.

KRISTA MOORE RDH

Dental Hygienist

5071 NE 122ND AVE
PORTLAND, OR 97230

Multnomah County (503) 255-5700

KODY JAMES CROOK DMD

Dentist (General Practice)

5071 NE 122ND AVE
PORTLAND, OR 97230

Multnomah County (503) 255-5700

NATHAN G DUSTIN DMD

Dentist (General Practice)

5071 NE 122ND AVE
PORTLAND, OR 97230

Multnomah County (503) 255-5700

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 Lance Bergeson's NPI number?

The NPI number for Lance Bergeson is 1245683911. It was assigned to this individual provider in the NPPES registry on July 19, 2016.

Where is Lance Bergeson located?

Lance Bergeson practices at 5071 NE 122nd Ave, Portland, OR 97230. The listed phone number is (503) 255-5700.

What is Lance Bergeson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Lance Bergeson accept?

Health plans from Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 2 other insurers list Lance Bergeson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lance Bergeson was last updated on July 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.