DR. LESLIE L GRACEY (NPI# 1316088602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316088602 |
| Entity Type | Individual |
| Full Name | DR. LESLIE L GRACEY |
| Credential | DDS |
| Practice Address |
3425 Ensign Rd Ne Ste 210 Olympia WA 98506-5425 |
| Mailing Address |
6210 Scottsdell Ct Sw Lakewood WA 98499-1130 |
| Practice Telephone | 3604594400 |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
WA | Dental Providers |
| Street Address |
3425 ENSIGN RD NE STE 210 |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98506-5425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588644413 | Michael Edward Werner | Dentist | 3425 Ensign Rd Ne, Suite 310, Olympia, WA 98506-5425 | 2006-01-18 |
| 1841619061 | Rodger A. Lawton, Dmd, Ps | Clinic/Center | 3425 Ensign Rd Ne, Suite 210, Olympia, WA 98506-5425 | 2014-04-15 |
| 1902162829 | Gheorghe Emanuel Plesiu | Internal Medicine | 3425 Ensign Rd Ne, Suite 220, Olympia, WA 98506-5063 | 2012-04-04 |
| 1417241282 | Austin Rubel | Dentist | 3425 Ensign Rd Ne, Suite 310, Olympia, WA 98506-5425 | 2011-06-08 |
| 1730310426 | Peter David Gauger | Dentist | 3425 Ensign Rd Ne, Suite 310, Olympia, WA 98506-5425 | 2009-07-29 |
| 1043476211 | Rodger A Lawton, Dmd, Ps | Dentist | 3425 Ensign Rd Ne, Ste 210, Olympia, WA 98506-5425 | 2008-08-06 |
| 1710161344 | Providence Health & Services Washington | Internal Medicine | 3425 Ensign Rd Ne, Suite 220, Olympia, WA 98506-5063 | 2007-12-18 |
| 1548474075 | Olympia Imaging Center | Clinic/Center | 3425 Ensign Rd Ne, Ste320, Olympia, WA 98506-5425 | 2007-05-10 |
| 1710013263 | Molli A Dutra | Optometrist | 3425 Ensign Rd Ne, Olympia, WA 98506-5425 | 2007-02-26 |
| 1801946736 | Rodger Alton Lawton | Dentist | 3425 Ensign Rd Ne, Ste 210, Olympia, WA 98506-5425 | 2007-01-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477185460 | Chloe Harper | Technician, Other | 3443 Lilly Rd Se, Ste B, Olympia, WA 98506 | 2020-02-07 |
| 1912543539 | Jessica Marie Radakovich | Licensed Practical Nurse | 3426 Mary Elder Rd, Olympia, WA 98506 | 2019-11-19 |
| 1669014973 | Arlene Josephine Adams | Registered Nurse | 413 Lily Rd Ne, Olympia, WA 98506 | 2019-10-09 |
| 1861999120 | Debra Delores Barker | Licensed Practical Nurse | 3710 South Bay Rd Ne, Olympia, WA 98506 | 2018-04-12 |
| 1801304431 | Michelle Warner | Nurse Practitioner | 205 Lilly Rd Ne Ste A1, Olympia, WA 98506 | 2018-01-17 |
| 1396258364 | Institute for Family Development | Community/Behavioral Health | 204 Quince St. Ne, Suite 200, Olympia, WA 98506 | 2017-11-13 |
| 1083137715 | Cameron Kunkel | Specialist/Technologist | 2512 20th Ave Ne, Olympia, WA 98506 | 2017-07-25 |
| 1184144768 | Trevor Shane Kwan | Family Medicine | 525 Lilly Road Ne, Olympia, WA 98506 | 2017-06-23 |
| 1073043212 | Michael H Harburg | Behavior Technician | 3857 Martin Way Ne, Olympia, WA 98506 | 2017-06-19 |
| 1780114371 | Priscilla Kangyang Jadu | Counselor | 3857 Martin Way E., Olympia, WA 98506 | 2017-06-15 |
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| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548779515 | Northwest Center for Prosthodontics | Dentist | 3425 Ensign Rd Ne Ste 210, Olympia, WA 98506-5063 | 2017-09-22 |
| 1255324893 | Robert Edward Stover | Dentist | 128 Lilly Rd Ne Ste 125, Olympia, WA 98506-7400 | 2005-08-30 |
| 1043476211 | Rodger A Lawton, Dmd, Ps | Dentist | 3425 Ensign Rd Ne, Ste 210, Olympia, WA 98506-5425 | 2008-08-06 |
| 1801946736 | Rodger Alton Lawton | Dentist | 3425 Ensign Rd Ne, Ste 210, Olympia, WA 98506-5425 | 2007-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275184459 | Pi-yu Hsu | Dentist | 509 Olive Way Ste 1043, Seattle, WA 98101-1724 | 2019-09-27 |
| 1295383925 | K Miller Dds Ms Pllc | Dentist | 9800 Ne 120th Pl Ste C, Kirkland, WA 98034-4220 | 2019-08-27 |
| 1205394681 | Dana Buglione | Dentist | 1959 Ne Pacific St Hsb Room B-469, Seattle, WA 98195-0001 | 2019-03-05 |
| 1275089872 | Timothy J. Butson Dmd, Msd, Pllc | Dentist | 600 University St Ste 819, Seattle, WA 98101-4117 | 2016-09-01 |
| 1659724102 | Will Eunku Chung II Dds Msd Pllc | Dentist | 509 Olive Way Ste 1416, Seattle, WA 98101-1749 | 2016-07-20 |
| 1609229699 | Albert Chung Dental Clinic | Dentist | 12715 Bel Red Rd Ste 201, Bellevue, WA 98005-2627 | 2016-07-14 |
| 1831558907 | Ellis Jardine, Dmd, Pllc | Dentist | 1401 Nw 1st St Ste 120, Battle Ground, WA 98604-4540 | 2016-02-18 |
| 1144694787 | Brooksjohnsonpllc | Dentist | 1004 S. Monroe Street, Ste 100, Spokane, WA 99204 | 2015-11-19 |
| 1649642638 | Northwest Implants and Sleep Dentistry | Dentist | 9911 N. Nevada Ave, Suite 120, Spokane, WA 99218-2500 | 2015-10-29 |
| 1720458359 | Ellis Burke Jardine, Dmd, PC | Dentist | 406 Se 131st Ave Ste 305, Vancouver, WA 98683-4014 | 2015-09-24 |
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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.