# BERGMAN DDS PS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417064312
- **Authorized official:** MR. RYAN JOHN BERGMAN DDS (OWNER)
- **Authorized official phone:** (360) 693-9349

## Contact information

- **Practice address:** 701 OFFICERS ROW, VANCOUVER, WA 98661
- **Practice address phone:** (360) 693-9349
- **Practice address fax:** (360) 695-2673
- **Mailing address:** 701 OFFICERS ROW, VANCOUVER, WA 98661
- **Mailing address phone:** (360) 693-9349
- **Mailing address fax:** (360) 695-2673

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 8362 | WA | — |
| 122300000X | Dentist | 8550 | WA | Yes |

## Other

- **Enumeration date:** 08/24/2006
- **Last updated:** 08/22/2020