TOTAL CARE DENTAL PLLC (NPI# 1487159331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487159331 |
| Entity Type | Organization |
| Organization Name | TOTAL CARE DENTAL PLLC |
| Other Organization Name | SOUTHRIDGE DENTAL |
| Practice Address |
3911 W 27th Ave Ste 105 Kennewick WA 99337-2483 |
| Practice Telephone | 5095810081 |
| Practice Fax Number | 5095919888 |
| Mailing Telephone | 5095810081 |
| Mailing Fax Number | 5095919888 |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2018-03-23 |
| Authorized Official Name | SEAN F.M. SIMPER (OWNER, DENTIST) |
| Authorized Official Telephone | 5095810081 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DE60023578 | WA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Southridge Dental | Doing Business As Name - Organization |
| Street Address |
3911 W 27TH AVE STE 105 |
| City | KENNEWICK |
| State | WA |
| Zip Code | 99337-2483 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013000686 | Loren P Anderson | Dentist | 3911 W 27th Ave Ste 105, Kennewick, WA 99337-2483 | 2006-10-02 |
| 1215326202 | Eric Winterton Dds Pllc | Clinic/Center | 3911 W 27th Ave Ste 105, Kennewick, WA 99337-2483 | 2015-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982238044 | Sendy D Garibay-flores | Specialist/Technologist | 1609 South Garfield St, Kennewick, WA 99337 | 2020-02-27 |
| 1407386535 | Robin Roderick | Dental Hygienist | 2510 W. 35th Ave, Kennewick, WA 99337 | 2017-06-12 |
| 1134580897 | Pamela Taylor | Counselor | 241907 E State Route 397, Kennewick, WA 99337 | 2016-03-09 |
| 1093119232 | Angela Combs | Nurse Practitioner | 3801 Zintel Way, Suite 120, Kennewick, WA 99337 | 2014-10-17 |
| 1699103036 | Zachary Daniel Mcnair | Physician Assistant | 4008 W 27th Ave, Suite 103, Kennewick, WA 99337 | 2013-10-22 |
| 1326302647 | Yvonne Teresa Sands | Nurse Practitioner | 4008 W 27th Ave Ste 103, Kennewick, WA 99337 | 2012-07-02 |
| 1144403064 | Anja Rasmussen | Physical Therapist | 3101 S. Gum St, Kennewick, WA 99337 | 2007-12-13 |
| 1558585182 | Cynthia Renee Wright | Counselor | 3801 S Zintel Way Ste 120, Kennewick, WA 99337 | 2007-04-13 |
| 1477635159 | Steven R Zirker | Physician Assistant | 4008 W 27th Ave, Suite 103, Kennewick, WA 99337 | 2006-10-20 |
| 1770699886 | Jeanie Edwards | Specialist | 228705 Game Farm Rd, Kennewick, WA 99337 | 2006-08-22 |
| Find all providers in zip 99337 | ||||
| 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 |
|---|---|---|---|---|
| 1396194338 | Tri City Dental Care, Pllc | Dentist | 3711 Plaza Way, Ste 120, Kennewick, WA 99338-2718 | 2016-06-10 |
| 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 |
| 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.