GUNDERSEN DENTAL, PLLC


Address: 251 N. Chelan Ave, Wenatchee, WA 98801
Phone: 5096634436

GUNDERSEN DENTAL, PLLC (NPI# 1114470432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114470432
Entity Type Organization
Organization Name GUNDERSEN DENTAL, PLLC
Other Organization Name TYLER B. GUNDERSEN, PLLC
Practice Address 251 N. Chelan Ave
Wenatchee
WA 98801
Practice Telephone 5096634436
Practice Fax Number 5096635974
Mailing Telephone 5096634436
Mailing Fax Number 5096635974
Enumeration Date 2016-08-03
Last Update Date 2020-03-09
Authorized Official Name DR. TYLER BURTON GUNDERSEN (OWNER)
Authorized Official Telephone 5096634436
Authorized Official Credential D.D.S.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QD0000X Clinic/Center
Specialization: Dental
DE00010222 WA Ambulatory Health Care Facilities
Y 122300000X Dentist Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA 5048871 05

Other Provider/Organization Names

Other Name Type Code
Tyler B. Gundersen, PLLC Former Legal Business Name - Organization

Office Location

Street Address 251 N. CHELAN AVE
City WENATCHEE
State WA
Zip Code 98801

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033728365 Jeannie Jones Massage Therapist 15 2nd St, Hallway 15, Wenatchee, WA 98801 2020-07-22
1184246688 Mireya Ann Bahena Case Manager/Care Coordinator Catholic Charities of The Diocese of 145 S. Worthen St., Wenatchee, WA 98801 2020-05-07
1871067843 Bfg Wenatchee Propco Iv, LLC Assisted Living Facility 817 Red Apple Rd, Wenatchee, WA 98801 2019-01-14
1982177283 Michael Lee Miller Behavioral Analyst 264 N. Mission, Wenatchee, WA 98801 2019-01-09
1972073526 Daniel Jentges Family Medicine 413 N Mission St., Wenatchee, WA 98801 2018-11-27
1972010437 Daniel Nickel Occupational Therapy Assistant 217 Wetherald St, Wenatchee, WA 98801 2018-01-05
1962916379 The Professional Denture Center Denturist 533 South Mission St, Wenatchee, WA 98801 2017-11-21
1467978155 Matthew Jerauld Laws Massage Therapist 416 Ninth Street, Wenatchee, WA 98801 2017-08-15
1073051363 Kimberley Rae Chambers Massage Therapist 25 N Wenatchee Ave Suite 104, Wenatchee, WA 98801 2017-02-07
1841746187 Valentina Alvarez Counselor 145 S Worthern, Wenatchee, WA 98801 2016-08-28
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033458377 David Walker Parks Dentist 600 Orondo Ave Ste 2, Wenatchee, WA 98801-2800 2013-02-06
1003960238 Bernie Kopfer Dentist 533 S Mission St, Wenatchee, WA 98801-3047 2007-01-23
1073689147 John O Ruud Dentist 245 N Chelan Ave, Wenatchee, WA 98801-2104 2006-11-28
1932217726 Marc Lee Ball Dentist 620 N Emerson St, Ste 103, Wenatchee, WA 98801-6619 2006-08-29
1649284167 James Edward Mills Dentist 610 N Mission, Ste B-4, Wenatchee, WA 98801-6611 2006-07-28
1235769589 Sleep Better Wenatchee LLC Dentist 533 S Mission St, Wenatchee, WA 98801-3047 2020-01-24
1619434552 Sagebrush Dental LLC Dentist 1114 N Mission St Ste A, Wenatchee, WA 98801-6711 2019-02-27
1154876282 David Parry Summers Dentist 222 N Chelan Ave, Wenatchee, WA 98801-2105 2016-08-18
1205289352 Marc L. Ball Dds, Ps Dentist 620 N Emerson Ave, Suite 103, Wenatchee, WA 98801-6619 2016-07-13
1871947424 Vanbibber Wenatchee PC Dentist 650 N Miller St, Wenatchee, WA 98801-2044 2016-04-20
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Competitor

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City WENATCHEE
Zip Code 98801

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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