Columbia Basin Pedicatric Dentistry in Kennewick - Pediatric Dentistry
Columbia Basin Pedicatric Dentistry - NPI 1871673301
Columbia Basin Pedicatric Dentistry is a Pediatric Dentistry in Kennewick, Washington. Columbia Basin Pedicatric Dentistry practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Columbia Basin Pedicatric Dentistry is 1871673301. The last update date is 2020-08-22.
Columbia Basin Pedicatric Dentistry's current location address is 7501 W Deschutes Pl, Kennewick, Washington. You can contact this provider via phone number 5097831960. The mailing address for Columbia Basin Pedicatric Dentistry is 7501 W Deschutes Pl, Kennewick, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Columbia Basin Pedicatric Dentistry |
|---|---|
| Address | 7501 W Deschutes Pl, Kennewick, Washington |
| Phone Number | 5097831960 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Loveridge W Larry |
| Telephone Number | 5097831960 |
NPI Number Detail
| NPI Number | 1871673301 |
|---|---|
| Provider Enumeration Date | 2006-10-17 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 7501 W Deschutes Pl |
|---|---|
| City | Kennewick |
| State | Washington (WA) |
| Post Code | 993367719 |
| Phone Number | 5097831960 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | DE00008974 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| AB32234 | WA | SURGICAL CENTER | |
| 5036876 | WA | -- |
Post Comment/ Review Below
What is the Columbia Basin Pedicatric Dentistry's 1871673301?
The Columbia Basin Pedicatric Dentistry's NPI (National Provider Identifier) Number is 1871673301. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Columbia Basin Pedicatric Dentistry's facilities are situated?
The facilities of Columbia Basin Pedicatric Dentistry are physically located at the following address: 7501 W Deschutes Pl, Kennewick, WA, 993367719.
What is Columbia Basin Pedicatric Dentistry's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Columbia Basin Pedicatric Dentistry is Pediatric Dentistry, and the corresponding taxonomy classification code for this specialized field is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1871673301 to Columbia Basin Pedicatric Dentistry?
The Centers for Medicare & Medicaid Services originally issued the 1871673301 to Columbia Basin Pedicatric Dentistry on 2006-10-17.
When was the Columbia Basin Pedicatric Dentistry's information last updated?
The Columbia Basin Pedicatric Dentistry's information was last updated on 2020-08-22.