NORTHWEST DENTURE STUDIO OF SPOKANE (NPI# 1578782231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578782231 |
| Entity Type | Organization |
| Organization Name | NORTHWEST DENTURE STUDIO OF SPOKANE |
| Other Organization Name | JEFFREY W EISNER SR |
| Practice Address |
121 W Crawford St Deer Park WA 99006-5185 |
| Practice Telephone | 5092762722 |
| Practice Fax Number | 5092768145 |
| Mailing Telephone | 5092762722 |
| Mailing Fax Number | 5092768145 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2017-05-01 |
| Authorized Official Name | MR. JEFFREY WHITMAN EISNER SR. (PRESIDENT) |
| Authorized Official Telephone | 5093282117 |
| Authorized Official Credential | DPD DENTURIST |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122400000X | Denturist | DN00000034 | WA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Jeffrey W Eisner Sr | Other Name - Individual/Organization |
| Street Address |
121 W CRAWFORD ST |
| City | DEER PARK |
| State | WA |
| Zip Code | 99006-5185 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063585891 | Robert A Schwartzenberger | Dentist | 121 W Crawford St, Deer Park, WA 99006 | 2006-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417572892 | Deer Park Dental Pllc | Dentist | 118 E. Crawford St., Deer Park, WA 99006 | 2020-06-11 |
| 1124653464 | James Phelan | Optometrist | 14 N. Vernon Ave., Deer Park, WA 99006 | 2020-03-06 |
| 1336628841 | Shayla Michelle Simonson | Massage Therapist | West 114 South Avenue, Apt 4, Deer Park, WA 99006 | 2018-08-07 |
| 1710221494 | Lori Tetsuro Mcdonald | Hearing Instrument Specialist | 23 E Crawford St, Suite D, Deer Park, WA 99006 | 2012-11-19 |
| 1952675076 | Debra Kay Keller | Pharmacist | 412 S Main, Deer Park, WA 99006 | 2012-03-07 |
| 1457661027 | Martha Joan Haney | Massage Therapist | W 110 Crawford, Suite J, Deer Park, WA 99006 | 2010-10-18 |
| 1487818324 | Bi-mart Corporation | Durable Medical Equipment & Medical Supplies | 412 S. Main Avenue, Deer Park, WA 99006 | 2008-07-10 |
| 1912104498 | Melissa Ann Mccollough | Massage Therapist | 20 East J Street Suite B, Deer Park, WA 99006 | 2007-06-28 |
| 1336368182 | Community Health Association of Spokane | Clinic/Center | 401 S Main Street, Deer Park, WA 99006 | 2007-04-24 |
| 1215153739 | Bates and Miller, Pllc, Dds | Clinic/Center | 20 E J Street, Suite 2b, Deer Park, WA 99006 | 2007-04-17 |
| Find all providers in zip 99006 | ||||
| Taxonomy Code | 122400000X |
| Grouping | Dental Providers |
| Classification | Denturist |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427689421 | Tri-cities Denture Studio Pllc | Denturist | 3909 Creekside Loop Ste 110, Yakima, WA 98902-4880 | 2020-01-29 |
| 1447894811 | Michael Hu | Denturist | 430 N West Ave Ste 3, Arlington, WA 98223-1539 | 2019-10-29 |
| 1265999494 | Sagebrush Dental LLC | Denturist | 1114 N Mission St Ste C, Wenatchee, WA 98801-6711 | 2019-02-24 |
| 1295299113 | Stephanie Jean Hemenway | Denturist | 209 W Main Ave., Morton, WA 98356 | 2019-01-24 |
| 1538633664 | Trang Phung | Denturist | 1242 State Ave Ste G, Marysville, WA 98270-3672 | 2019-01-11 |
| 1053884338 | Juan Edward Berlanga | Denturist | 654 N Rochester St, Tacoma, WA 98406-1724 | 2019-01-09 |
| 1346713765 | Cody M Dunivin | Denturist | 129 Valley Meadows Dr, Chehalis, WA 98532-8652 | 2019-01-08 |
| 1841765682 | Andrew Payne | Denturist | 714 N Chelan Ave, Wenatchee, WA 98801-2069 | 2018-10-08 |
| 1154811982 | Jayson Allen Laney | Denturist | 4001 Colby Ave Ste 2, Everett, WA 98201-6208 | 2018-05-17 |
| 1932697117 | Jason Lee Alsbury | Denturist | 1715 W Kennewick Ave, Kennewick, WA 99336-3378 | 2018-04-24 |
| Find all providers with the same taxonomy | ||||
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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.