TRI CITY DENTAL CARE, PLLC (NPI# 1396194338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396194338 |
| Entity Type | Organization |
| Organization Name | TRI CITY DENTAL CARE, PLLC |
| Practice Address |
3711 Plaza Way Ste 120 Kennewick WA 99338-2718 |
| Practice Telephone | 5095790759 |
| Mailing Telephone | 5095790759 |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2016-06-10 |
| Authorized Official Name | DR. ANTONIO LOPEZ-IBARRA (DENTIST OWNER) |
| Authorized Official Telephone | 5095790759 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DE60487049 | WA | Dental Providers |
| Street Address |
3711 PLAZA WAY STE 120 |
| City | KENNEWICK |
| State | WA |
| Zip Code | 99338-2718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467974170 | Madiha Haque | Internal Medicine | Trios Care Center, 3730 Plaza, 4th Floor, Kennewick, WA 99338 | 2017-07-13 |
| 1053719864 | Christine Boynton Tano | Speech-Language Pathologist | 10411 E Vaca Rd, Kennewick, WA 99338 | 2014-12-10 |
| 1992058895 | Jennifer Kathleen Webb | Massage Therapist | 4206 W. 24th Ave. Suite A 101, Kennewick, WA 99338 | 2012-10-17 |
| 1881999639 | Tyler Rex Thornock | Nurse Anesthetist, Certified Registered | 15205 S. Mountain Ridge Ct, Kennewick, WA 99338 | 2011-01-25 |
| 1528205812 | Christina Ann Hofstetter | Massage Therapist | 4206 W. 24th Ave, Suite B103, Kennewick, WA 99338 | 2009-01-08 |
| 1619184025 | Jennifer Candice Charron | Family Medicine | 3900 S. Zintel Way, Kennewick, WA 99338 | 2007-05-16 |
| 1821211640 | Brandon P Campbell | Chiropractor | 4303 W. 27th Avenue, Suite E, Kennewick, WA 99338 | 2007-04-10 |
| 1902936206 | Stuart Lee Smithson | Chiropractor | 2411 S. Union St., Suite C, Kennewick, WA 99338 | 2007-03-06 |
| 1467580845 | Theodore J Weber Sr. | Specialist/Technologist | 3520 Southridge Blvd, Kennewick, WA 99338 | 2007-02-28 |
| 1093868572 | Canyonview Family Eye Care LLC | Optometrist | 4309 W 27th Place, Suite 102, Kennewick, WA 99338 | 2007-01-19 |
| Find all providers in zip 99338 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336556372 | Lan Thi Ngoc Nguyen | Dentist | 4528 W 26th Ave Ste 110, Kennewick, WA 99338-1863 | 2014-07-22 |
| 1043626674 | Antonio Lopez-ibarra | Dentist | 3711 Plaza Way Ste 120, Kennewick, WA 99338-2718 | 2014-07-02 |
| 1154754612 | Preventec | Dentist | 7701 W 4th Ave Apt E104, Kennewick, WA 99336-8540 | 2013-08-19 |
| 1205182193 | Rosen Georgiev Dimov | Dentist | 6607 W Canal Dr, Kennewick, WA 99336-5077 | 2012-07-27 |
| 1659636389 | Gregory Paul Dorsett | Dentist | 312 N Delaware St, Kennewick, WA 99336-7702 | 2012-07-09 |
| 1942440581 | A Family Dental Center | Dentist | 8511 W. Clearwater Ave., Suite A, Kennewick, WA 99336-8578 | 2009-02-23 |
| 1912151580 | Christian E Johnson Dds | Dentist | 7405 W Grandbridge Blvd, Ste A, Kennewick, WA 99336-6708 | 2008-11-10 |
| 1548430044 | Geoffrey Andrew Wan | Dentist | 6607 West Canal Dr., Kennewick, WA 99336-5077 | 2008-03-11 |
| 1225226343 | Stephen W Hansen | Dentist | 10505 W Clearwater Ave, Bldg A, Kennewick, WA 99336-8613 | 2007-10-15 |
| 1609069798 | Adam B Harker | Dentist | 407 N Conway St, Kennewick, WA 99336-3047 | 2007-08-22 |
| Find all providers in KENNEWICK | ||||
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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.