Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Lance Bergeson, DMD

Individual provider General Practice Dentistry · NPI 1245683911

Dr. Lance Bergeson, DMD is a General Practice Dentistry in Portland, Oregon. Licensed in Oregon and Washington. Registered with an NPI since 2016.

Licensed in
OR, WA
In the registry since
2016
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

5071 NE 122nd Ave
Portland, OR 97230-1003
Phone: (503) 255-5700
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D10462 (OR)
General Practice Dentistry Taxonomy 1223G0001X · Licence DE60647187 (WA)

Record details

NPI number1245683911
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 19, 2016
Last updated in NPPESJuly 19, 2016
Mailing address5071 Ne 122nd Ave, Portland, OR 97230-1003

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