Healthcare Provider Details

I. General information

NPI: 1861315657
Provider Name (Legal Business Name): ANEESH BHARDWAJ DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 ELLIS ST
BELLINGHAM WA
98225-5238
US

IV. Provider business mailing address

5888 ANNANDALE WAY
DUBLIN CA
94568-7474
US

V. Phone/Fax

Practice location:
  • Phone: 360-734-6190
  • Fax:
Mailing address:
  • Phone: 716-602-9955
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License NumberDENT.DE.70147726
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDENT.DE.70147726
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: