- Practice location
- 15885 SW 116TH Ave, Tigard, OR 97224-2647
- Phone
- 503-639-5025
- Fax
- 503-684-1391
- Last updated
- August 22, 2020
Dimitrios J. Vareldzis DDS, PC is a healthcare organization based in Tigard, OR. Dimitrios J. Vareldzis DDS, PC practices in Tigard, OR. The NPI Number for Dimitrios J. Vareldzis DDS, PC is 1174657217 and holds a License No. D6471 (OR). The current practice location address for Dimitrios J. Vareldzis DDS, PC is 15885 SW 116TH Ave, Tigard, OR 97224-2647 and can be reached out via phone at 503-639-5025 and via fax at 503-684-1391.
Provider Profile Details
- NPI Number
- 1174657217
- Provider Name
- Dimitrios J. Vareldzis DDS, PC
- Provider Entity Type
- Organization
- Address
- 15885 SW 116TH Ave, Tigard, OR 97224-2647
- Phone Number
- 503-639-5025
- Fax Number
- 503-684-1391
- Primary Taxonomy
- Dentist · 122300000X
- Organization Subpart
- No
- Authorized Official
- Dr. Dimitrios John Vareldzis, DDS · President · 503-639-5025
- Other Names
- Bull Mountain Family Dental (Doing Business As)
- Provider Enumeration Date
- March 14, 2007
- Last Update Date
- August 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 15885 SW 116TH Ave
Tigard, OR 97224-2647 - City
- Tigard
- State
- Oregon
- Zip
- 97224-2647
- Phone Number
- 503-639-5025
- Fax Number
- 503-684-1391
Provider Business Mailing Address Details
- Address
- 15885 SW 116TH Ave
Tigard, OR 97224-2647 - City
- Tigard
- State
- OR
- Zip
- 97224-2647
- Phone Number
- 503-639-5025
- Fax Number
- 503-684-1391
License Information
- License Number
- D6471
- License State
- OR
- Taxonomy
- Dentist · 122300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentists near Tigard, OR
View all Dentists in Tigard →Frequently Asked Questions
What is the NPI number of Dimitrios J. Vareldzis DDS, PC?
The NPI number of Dimitrios J. Vareldzis DDS, PC is 1174657217. It was assigned on March 14, 2007 and is currently active in the NPPES registry.
What is the specialty of Dimitrios J. Vareldzis DDS, PC?
Dimitrios J. Vareldzis DDS, PC is registered under the primary taxonomy Dentist (code 122300000X), licensed in OR under license number D6471.
Where does Dimitrios J. Vareldzis DDS, PC practice?
The practice location is 15885 SW 116TH Ave, Tigard, OR 97224-2647. The office can be reached at 503-639-5025 (phone) or 503-684-1391 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174657217 directly on the NPPES registry website.