EDWARD L CHARBONNEAU, DDS (NPI# 1639357940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639357940 |
| Entity Type | Organization |
| Organization Name | EDWARD L CHARBONNEAU, DDS |
| Practice Address |
1520 W Garland Ave Spokane WA 99205-2613 |
| Practice Telephone | 5093289787 |
| Practice Fax Number | 5093268095 |
| Mailing Telephone | 5093289787 |
| Mailing Fax Number | 5093268095 |
| Enumeration Date | 2008-02-08 |
| Last Update Date | 2008-07-08 |
| Authorized Official Name | DR. EDWARD LEE CHARBONNEAU (OWNER) |
| Authorized Official Telephone | 5093289787 |
| Authorized Official Credential | DDS. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 4750 | WA | Ambulatory Health Care Facilities |
| Street Address |
1520 W GARLAND AVE |
| City | SPOKANE |
| State | WA |
| Zip Code | 99205-2613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467752477 | Renne Ruth Ditton | Massage Therapist | 1520 W Garland Ave, Suite B, Spokane, WA 99205-2613 | 2010-10-25 |
| 1528368685 | Gregory A. Frahm Dds, Pllc | Clinic/Center | 1520 W Garland Ave, Suite A, Spokane, WA 99205-2613 | 2010-10-23 |
| 1801054721 | Gregory Alan Frahm | Dentist | 1520 W Garland Ave, Suite A, Spokane, WA 99205-2613 | 2008-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275027740 | Jill Sanders | Behavior Technician | 1104 West Wellesley, Spokane, Wa, United States, Ste D, Spokane, WA 99205 | 2018-06-19 |
| 1265981997 | Lorraine Jeanette Diricco | Registered Nurse | 1717 W Francis Ave Ste 204, Spokane, WA 99205 | 2016-09-22 |
| 1992156749 | Dane Sultzer | Optometrist | 1123 W Fairview Ave, Spokane, WA 99205 | 2016-06-23 |
| 1770975864 | Trevor George | Naturopath | 3710 N Monroe, Spokane, WA 99205 | 2015-02-26 |
| 1003246661 | Rita Y Flanagan | Psychologist | 4815 N Assembly St, Room B256, Spokane Va Medical Center, Spokane, WA 99205 | 2013-11-19 |
| 1649616277 | Mary Anyango Okello | Nurse's Aide | 3614 W. Wellesley Ave, Spokane, WA 99205 | 2013-05-22 |
| 1710242367 | Amy Clement | Dentist | 4815 N Assembly St., Spokane, WA 99205 | 2012-07-10 |
| 1114202082 | Teresa J Stella | Pharmacist | 3919 N. Maple St., Spokane, WA 99205 | 2011-10-11 |
| 1184905218 | James Anthony Carnell | Dentist | 4610 N. Ash St., (suite 204), Spokane, WA 99205 | 2011-09-02 |
| 1508150632 | Jennifer Leigh Knuston | Social Worker | 207 W Nora Ave, Spokane, WA 99205 | 2011-06-06 |
| Find all providers in zip 99205 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801350350 | Ideal Option, Pllc | Clinic/Center | 901 N Monroe St Ste 322, Spokane, WA 99201-2148 | 2019-01-29 |
| 1679087043 | Amw Wellness LLC | Clinic/Center | 906 W 2nd Ave Fl 6, Spokane, WA 99201-4538 | 2017-11-21 |
| 1629319850 | Institute Medical Services, LLC | Clinic/Center | 10 N Post St, Spokane, WA 99201-0712 | 2013-03-13 |
| 1730378308 | D. Todd Wylie, O.d., Inc. | Clinic/Center | 104 S Freya Street, Suite 220, White Flag Bldg, Spokane, WA 99202-4867 | 2007-10-19 |
| 1457958530 | Metta Wellness Nw Pllc | Clinic/Center | 904 W Riverside Ave Unit 1107, Spokane, WA 99210-0329 | 2020-10-02 |
| 1770074965 | Inland Northwest Health Services | Clinic/Center | 501 N Riverpoint Blvd Ste 245, Spokane, WA 99202-1649 | 2018-05-23 |
| 1306391446 | Providence Health & Services Washington | Clinic/Center | 2923 E 29th Ave, Spokane, WA 99223-4811 | 2016-08-18 |
| 1376097279 | Sport & Spine LLC | Clinic/Center | 3209 E 57th Ave, Ste F, Spokane, WA 99223-7040 | 2016-08-09 |
| 1396143319 | Inkare, LLC | Clinic/Center | 611 E 2nd Ave, Suite B, Spokane, WA 99202-6010 | 2014-12-07 |
| 1548674872 | Douglas W. Lyman, Od, Pllc | Clinic/Center | 7619 N Division St, Spokane, WA 99208-5613 | 2014-06-14 |
| Find all providers in SPOKANE | ||||
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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.