TAYLOR MICHAEL PEDEGO (NPI# 1205453206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205453206 |
| Entity Type | Individual |
| Full Name | TAYLOR MICHAEL PEDEGO |
| Credential | DDS |
| Practice Address |
401 Valley Mall Pkwy East Wenatchee WA 98802-4833 |
| Mailing Address |
3640 S Sepulveda Blvd Apt 206 Los Angeles CA 90034-6848 |
| Practice Telephone | 5092892500 |
| Mailing Telephone | 9788867560 |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2020-06-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
61085244 | WA | Dental Providers |
| Street Address |
401 VALLEY MALL PKWY |
| City | EAST WENATCHEE |
| State | WA |
| Zip Code | 98802-4833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811086341 | V Bruce Wilcox | Dentist | 401 Valley Mall Pkwy, East Wenatchee, WA 98802-4833 | 2006-10-12 |
| 1386268829 | Dr Mileski Dds Pllc | Dentist | 401 Valley Mall Pkwy, East Wenatchee, WA 98802-4833 | 2020-06-01 |
| 1891349916 | Fengchun Miao | Dentist | 401 Valley Mall Pkwy, East Wenatchee, WA 98802-4833 | 2019-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699215483 | Nicole Christinia Johnson | Dietitian, Registered | 50 Simon Street Se Suite A, East Wenatchee, WA 98802 | 2017-02-28 |
| 1013394337 | Robbie Bowling | Counselor | 636 Valley Mall Parkway, Suite 200, East Wenatchee, WA 98802 | 2015-05-06 |
| 1437572203 | Aging & Adult Care of Central Washington | Case Management | 270 9th Street Ne Suite 100, East Wenatchee, WA 98802 | 2014-01-29 |
| 1417379900 | Kathryn Marie Gallik Maccallum | Occupational Therapist | 1983 Legendary Ln Se, East Wenatchee, WA 98802 | 2014-01-17 |
| 1649606328 | Hilary Kathleen Mann | Massage Therapist | 304 Grant Road, Suite #1, East Wenatchee, WA 98802 | 2013-09-25 |
| 1932544988 | Sound Oxygen Service, Inc. | Durable Medical Equipment & Medical Supplies | 640 Valley Mall Pkwy Ste B, East Wenatchee, WA 98802 | 2013-05-03 |
| 1346519329 | Lindsay N Grode | Massage Therapist | 667 Grant Road, Suite 3, East Wenatchee, WA 98802 | 2011-12-21 |
| 1952601726 | Lizette Corral | Massage Therapist | 2434 Bellanca St, East Wenatchee, WA 98802 | 2010-10-27 |
| 1548415615 | Ashley Cristine Neumann | Counselor | 558 Morning View Ave, Ste 100, East Wenatchee, WA 98802 | 2008-11-17 |
| 1962528950 | Diana Maria Villalobos | Counselor | 220 Eastmont Ave Childrens Home Society of Washington, Suite B, East Wenatchee, WA 98802 | 2007-03-21 |
| Find all providers in zip 98802 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811086341 | V Bruce Wilcox | Dentist | 401 Valley Mall Pkwy, East Wenatchee, WA 98802-4833 | 2006-10-12 |
| 1922104579 | Matthew William Fluegge | Dentist | 476 Grant Rd, East Wenatchee, WA 98802-5336 | 2006-09-14 |
| 1205941937 | Reynolds & Reynolds, Dds, Pllc | Dentist | 210 Valley Mall Pkwy, East Wenatchee, WA 98802-7728 | 2006-08-21 |
| 1275541492 | Donald Leo Shurtz | Dentist | 801 Eastmont Ave Ste A, East Wenatchee, WA 98802-7665 | 2006-08-03 |
| 1528007077 | James Edward Davis | Dentist | 530 Valley Mall Pkwy, Suite 2, East Wenatchee, WA 98802-4849 | 2006-06-06 |
| 1306840780 | Tom K. Michael | Dentist | 703 Valley Mall Pkwy, East Wenatchee, WA 98802-4839 | 2005-06-13 |
| 1386268829 | Dr Mileski Dds Pllc | Dentist | 401 Valley Mall Pkwy, East Wenatchee, WA 98802-4833 | 2020-06-01 |
| 1891349916 | Fengchun Miao | Dentist | 401 Valley Mall Pkwy, East Wenatchee, WA 98802-4833 | 2019-07-26 |
| 1497209985 | Eastmont Family Dental | Dentist | 801 Eastmont Ave Ste A, East Wenatchee, WA 98802-7665 | 2016-08-12 |
| 1801340476 | Tom K. Michael D.d.s., P.s. | Dentist | 703 Valley Mall Pkwy, East Wenatchee, WA 98802-4839 | 2016-08-11 |
| Find all providers in EAST WENATCHEE | ||||
| City | EAST WENATCHEE |
| Zip Code | 98802 |
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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.