GENTECH DENTIST, P.C. (NPI# 1588611321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588611321 |
| Entity Type | Organization |
| Organization Name | GENTECH DENTIST, P.C. |
| Practice Address |
14201 Ne 20th Ave Suite 2204 Vancouver WA 98686-6410 |
| Practice Telephone | 3605718181 |
| Practice Fax Number | 3605734029 |
| Mailing Telephone | 3605718181 |
| Mailing Fax Number | 3605734029 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. KEVIN BOIE (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 3605718181 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | GENTECH DENTIST, P.C. | 442 Sw Umatilla Avenue Suite 200, Redmond, OR 97756 |
| Washington State Corporations | GENTECH DENTIST, P.C. | 7735 Ne Hwy 99 #200, Vancouver, WA 98665 |
| Street Address |
14201 NE 20TH AVE SUITE 2204 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98686-6410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447233739 | Spencer William Southwick | Physical Therapist | 14201 Ne 20th Ave, Suite 3101, Vancouver, WA 98686-6410 | 2005-11-21 |
| 1427592872 | Jocelyn Mileck | Physical Therapy Assistant | 14201 Ne 20th Ave, Suite 3101, Vancouver, WA 98686-6410 | 2016-12-05 |
| 1093268161 | Kurt Truong, Dds, Msd, Pllc | Clinic/Center | 14201 Ne 20th Ave, Suite 3102, Vancouver, WA 98686-6410 | 2016-07-25 |
| 1396126850 | Dental Service, LLC | Clinic/Center | 14201 Ne 20th Ave, Suite 2204, Vancouver, WA 98686-6410 | 2015-06-10 |
| 1184040255 | Pivot Health Acupuncture | Clinic/Center | 14201 Ne 20th Ave, Ste #1102, Vancouver, WA 98686-6410 | 2014-03-12 |
| 1285998336 | Kurt Duc Truong | Dentist | 14201 Ne 20th Ave, #c-3102, Vancouver, WA 98686-6410 | 2012-07-03 |
| 1306165832 | Rejuvenance Therapy LLC | Physical Therapist | 14201 Ne 20th Ave, Suite 1102, Vancouver, WA 98686-6410 | 2010-05-24 |
| 1417287293 | Tosha Marlene Benson | Specialist | 14201 Ne 20th Ave, Suite 3101, Vancouver, WA 98686-6410 | 2009-12-30 |
| 1629228960 | Access Dental Plan LLC | Dentist | 14201 Ne 20th Ave, Suite 2204, Vancouver, WA 98686-6410 | 2008-09-23 |
| 1619141173 | Susan Mccarthy, Lac LLC | Acupuncturist | 14201 Ne 20th Ave, Suite 1102, Vancouver, WA 98686-6410 | 2008-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154891117 | Dorota Bozena Barton | Speech-Language Pathologist | 2121 Ne 139th Street Mob A, Suite 200, Vancouver, WA 98686 | 2018-12-03 |
| 1881161818 | Michelle Wolfe | Dental Assistant | A101, 1484, 14313 Ne 20th Ave, Vancouver, WA 98686 | 2018-10-29 |
| 1306321237 | Rainier Springs Physician Group, LLC | General Practice | 2805 Ne 129th Street, Vancouver, WA 98686 | 2018-09-26 |
| 1801382387 | Kristopher K Kostenko | Dentist | 14201 Ne 20th Ave Ste A101, Vancouver, WA 98686 | 2018-07-08 |
| 1689164071 | Tegan Mills | Occupational Therapist | 7101 Ne 109th Street, Apt 64, Vancouver, WA 98686 | 2018-05-11 |
| 1164924122 | Kate Kristin Lawrence | Speech-Language Pathologist | 2215 Ne 104th St, Vancouver, WA 98686 | 2018-03-06 |
| 1437609567 | Elina Baranets | Registered Nurse | 14204 Ne Salmon Creek Avenue, Vancouver, WA 98686 | 2016-10-13 |
| 1386039550 | Sean Vikram Bhatia | Internal Medicine | Kaiser Salmon Creek, 14406 Ne 20th Ave, Vancouver, WA 98686 | 2015-04-03 |
| 1376988642 | Lindsay Hussey-andersen | Orthopaedic Surgery | 2525 Ne 139th St Ste 140, Vancouver, WA 98686 | 2013-05-01 |
| 1710253109 | Legacy Salmon Creek Hospital | Speech-Language Pathologist | 2121 Ne 139th St., Mob A, Ste 200, Vancouver, WA 98686 | 2012-03-29 |
| Find all providers in zip 98686 | ||||
| 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 |
|---|---|---|---|---|
| 1639787088 | Andrey Vorobets | Dentist | 12403 Ne 20th St, Vancouver, WA 98684-5566 | 2020-07-21 |
| 1689207318 | Beatriz Ellen Fortanely | Dentist | Ubc Faculty of Dentistry, 2151 Wesbrook Mall, Vancouver, BC V6T 1Z3 | 2020-02-21 |
| 1891258711 | Washington Dental Corporation, PC | Dentist | 14411 Ne Fourth Plain, Suite 134, Vancouver, WA 98682 | 2019-04-08 |
| 1356819403 | Kesang Yangchen Norbhu | Dentist | 7202 Ne Highway 99 Ste 100, Vancouver, WA 98665-8932 | 2018-11-07 |
| 1326514803 | Haseeb Hussain | Dentist | 8400 Ne Vancouver Mall Loop Ste 105, Vancouver, WA 98662-6672 | 2018-10-22 |
| 1023584877 | Always Smiles Dentistry | Dentist | 910 Ne Minnehaha St #12, Vancouver, WA 98665 | 2018-10-19 |
| 1730664772 | Thomas Shogo Backus | Dentist | 503 Nw 84th Cir, Vancouver, WA 98665-7720 | 2018-09-25 |
| 1801382387 | Kristopher K Kostenko | Dentist | 14201 Ne 20th Ave Ste A101, Vancouver, WA 98686 | 2018-07-08 |
| 1831699198 | Isabel Ane Sobrado | Dentist | 12425 Ne 20th St, Vancouver, WA 98684-5566 | 2018-02-13 |
| 1689197808 | Shawn P Platt | Dentist | 1300 Esther St Ste 101, Vancouver, WA 98660-2890 | 2017-07-19 |
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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.