MEDICARE: INESE VIVIAN BERGMAN DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	5218	WA

General Provider Information

NPI Number	:	1720150014
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	INESE VIVIAN BERGMAN DDS

Provider Business Mailing Address
First Line	:	9730 THIRD AVE NE
Second Line	:	STE 204
City	:	SEATTLE
State	:	WA
Zip	:	98115-2023
Country	:	US
Telephone Number	:	206-524-5700
Fax Number	:	206-524-0765

Provider Business Practice Location Address
First Line	:	9730 THIRD AVE NE
Second Line	:	STE 204
City	:	SEATTLE
State	:	WA
Zip	:	98115-2023
Country	:	US
Telephone Number	:	206-524-5700
Fax Number	:	206-524-0765

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/14/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1285639153 — DR. JEFFREY D. GREEN D.D.S.
Practice Location Address:

9730 3RD AVE NE , STE 103
SEATTLE, WA
98115-2023

Practice Phone: 206-527-9100
Practice Fax:

1427095413 — DR. HERBERT R. CLARK M.D.
Practice Location Address:

9730 3RD AVE NE , SUITE 201
SEATTLE, WA
98115-2023

Practice Phone: 206-526-8444
Practice Fax: 206-526-0521

1134168180 — PROLIANCE SURGEONS INC., P.S.
Practice Location Address:

9730 3RD AVE NE STE 201
SEATTLE, WA
98115-2023

Practice Phone: 206-526-8444
Practice Fax: 206-526-0521

1457454878 — NINA S RAMSEY ARNP
Practice Location Address:

9730 3RD AVE NE , SUITE 101
SEATTLE, WA
98115-2023

Practice Phone: 206-522-5243
Practice Fax: 206-522-9628

1154416915 — DR. GARY LEE BELL DDS
Practice Location Address:

9730 3RD AVE NE , SUITE #204
SEATTLE, WA
98115-2023

Practice Phone: 206-524-5700
Practice Fax: 206-524-0765

1972686731 — ELIZABETH LUFBURROW MD
Practice Location Address:

9730 3RD AVE NE , #206
SEATTLE, WA
98115-2023

Practice Phone: 206-523-8018
Practice Fax: 206-523-7234

Directions to “ INESE VIVIAN BERGMAN DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.