SEDRO WOOLLEY FAMILY DENTAL CENTER, P.S. (NPI# 1184963845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184963845 |
| Entity Type | Organization |
| Organization Name | SEDRO WOOLLEY FAMILY DENTAL CENTER, P.S. |
| Practice Address |
830 Metcalf St Sedro Woolley WA 98284-1423 |
| Practice Telephone | 3608550351 |
| Practice Fax Number | 3608559357 |
| Mailing Telephone | 3608550351 |
| Mailing Fax Number | 3608559357 |
| Enumeration Date | 2013-01-31 |
| Last Update Date | 2013-01-31 |
| Authorized Official Name | DR. HANSROLF H GRUENER (OWNER) |
| Authorized Official Telephone | 3608550351 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
603264506 | WA | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | SEDRO WOOLLEY FAMILY DENTAL CENTER, P.S. | 830 Metcalf St, Sedro Woolley, WA 98284-1423 |
| Street Address |
830 METCALF ST |
| City | SEDRO WOOLLEY |
| State | WA |
| Zip Code | 98284-1423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457410433 | Hansrolf Hildebrandt Gruener | Dentist | 830 Metcalf St, Sedro Woolley, WA 98284 | 2006-12-06 |
| 1942369913 | Robert Strande Chaddock | Dentist | 830 Metcalf St, Sedro Woolley, WA 98284 | 2006-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174138994 | Matthew Thomas Schaeffer | Counselor | 1690 Thompson Drive, Sedro Woolley, WA 98284 | 2020-09-09 |
| 1841852407 | Melissa Lynn Rose | Licensed Practical Nurse | Pcn, 1960 Thompson Dr, Sedro Wooley, WA 98284 | 2019-07-03 |
| 1730742842 | Joseph Q Elder | Counselor | 1803 North Sound Drive, Sedro Woolley, WA 98284 | 2019-04-16 |
| 1336610575 | John Allan Roeder II | Pharmacist | 320 Harrison St., Sedro-woolley, WA 98284 | 2018-12-16 |
| 1861931107 | Stacy Lee Chambers | Counselor | 1906 Thompson Drive, Sedro Woolley, WA 98284 | 2017-02-20 |
| 1033657309 | Carol Totten | Social Worker | 1960 Thompson Dr., Sedro-woolley, WA 98284 | 2017-02-07 |
| 1639414345 | Shannon L Moore | Licensed Practical Nurse | 1235 3rd Street, Sedro-woolley, WA 98284 | 2012-12-06 |
| 1013210111 | Ashley L Shaner | Physical Therapist | 709 Cook Rd, Sedro Woolley, WA 98284 | 2010-12-10 |
| 1417195660 | Susan L Pearson | Massage Therapist | 12263 N. Mill Street, Clearlake, WA 98284 | 2009-01-27 |
| 1093950883 | Tamara Lyn Stone | Massage Therapist | 460 Hilltop Drive, Sedro Woolley, WA 98284 | 2008-12-08 |
| Find all providers in zip 98284 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700671 | K.lee, Dds, Pllc. | Clinic/Center | 20709 Mountain Hwy E # 102, Spanaway, WA 98387-8580 | 2020-11-06 |
| 1346841376 | Ralf F. Schuler, Dr. Med. Dent., Msd,pllc | Clinic/Center | 205 W Fairhaven Ave Ste C, Burlington, WA 98233-1062 | 2020-11-05 |
| 1356942684 | Healthy Smiles Northwest | Clinic/Center | 11808 18th St Se, Lake Stevens, WA 98258-2046 | 2020-11-03 |
| 1306446240 | Christine A Woodward, Dds, Pllc | Clinic/Center | 45860 Main St, Concrete, WA 98237 | 2020-10-29 |
| 1215535695 | Ellingsen Henneberg Pllc | Clinic/Center | 2607 S Southeast Blvd Ste B210, Spokane, WA 99223-7614 | 2020-10-16 |
| 1174121792 | Evolve Dental LLC | Clinic/Center | 4410 194th St Sw Ste A, Lynnwood, WA 98036-5598 | 2020-10-15 |
| 1326646035 | Natasha Habib Dds Ps | Clinic/Center | 1025 153rd St Se Ste 103, Mill Creek, WA 98012-4051 | 2020-10-14 |
| 1386241636 | Mellissa Ilgen, Dds, Pllc | Clinic/Center | 26114 Illinois Ave Ne, Kingston, WA 98346-7674 | 2020-10-08 |
| 1417554932 | Young, Yeung, Lee, Hockin, P.s | Clinic/Center | 2207 2nd Ave, Seattle, WA 98121-2016 | 2020-10-07 |
| 1164039731 | Consolidated Dental Three | Clinic/Center | 19221 108th Ave Se Ste 2, Renton, WA 98055-7369 | 2020-09-28 |
| Find all providers with the same taxonomy | ||||
| City | SEDRO WOOLLEY |
| Zip Code | 98284 |
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| 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.