SPECIALTY DENTURE SERVICE INC (NPI# 1639635709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639635709 |
| Entity Type | Organization |
| Organization Name | SPECIALTY DENTURE SERVICE INC |
| Practice Address |
12501 S Keeney Rd Spokane WA 99224-9205 |
| Practice Telephone | 5099990615 |
| Mailing Telephone | 5099990615 |
| Enumeration Date | 2019-02-13 |
| Last Update Date | 2019-02-13 |
| Authorized Official Name | LORI NEURENE PECHA (LICENSED DENTURIST) |
| Authorized Official Telephone | 5099990615 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1063577245 | 05 |
| Other Name | Type Code |
|---|---|
| Specialty Denture Service Inc | Doing Business As Name - Organization |
| Street Address |
12501 S KEENEY RD |
| City | SPOKANE |
| State | WA |
| Zip Code | 99224-9205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063577245 | Lori Neurene Pecha | Denturist | 12501 S Keeney Rd, Spokane, WA 99224-9205 | 2006-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447711668 | Elizabeth Cynthia Young | Counselor | 8727 Us-2, Spokane, WA 99224 | 2019-03-29 |
| 1528535952 | Mailene Bianca Orozco | Counselor | 11919 Sprague Ave, Airway Heights, WA 99224 | 2018-10-24 |
| 1124519756 | Jai'lysa Hoskins | Counselor | 1700 S Assembly St, Spokane, WA 99224 | 2018-05-18 |
| 1770012171 | John T Messick | Emergency Medical Technician, Basic | 5410 S Osprey Heights Dr, Spokane, WA 99224 | 2017-06-08 |
| 1780130328 | Ashana Kelly | Behavioral Analyst | 5709 West Sunset Hwy #100, Spokane, WA 99224 | 2016-09-01 |
| 1740690247 | Latah Creek Family Dentistry | Dentist | 4001 S Cheney-spokane Rd, Suite B, Spokane, WA 99224 | 2014-05-06 |
| 1265735609 | Kyle Ray Stewart | Massage Therapist | 10620 W12th #335, Spokane, WA 99224 | 2010-12-07 |
| 1285950311 | Katherine Elaine Bunze | Contractor | 809 S Assembly, Spokane, WA 99224 | 2010-04-14 |
| 1801370044 | Joseph Dickens | Social Worker | 1700 S Assembly St Ste 300, Spokane, WA 99224 | 2018-09-24 |
| 1598143489 | Megan Marie Kerby | Behavioral Analyst | 5709 W Sunset Hwy Ste 100, Spokane, WA 99224 | 2015-05-11 |
| Find all providers in zip 99224 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535695 | Ellingsen Henneberg Pllc | Clinic/Center | 2607 S Southeast Blvd Ste B210, Spokane, WA 99223-7614 | 2020-10-16 |
| 1013540442 | Ulysses Vargas Dds Pllc | Clinic/Center | 2700 S Southeast Blvd Ste 101, Spokane, WA 99223-4984 | 2020-02-13 |
| 1760943203 | Bryan Hunter Denturist LLC | Clinic/Center | 1105 W Francis Ave Ste B, Spokane, WA 99205-6817 | 2019-03-27 |
| 1629541552 | Zollinger, Pllc | Clinic/Center | 3022 E 57th Ave Ste 10, Spokane, WA 99223-7033 | 2019-01-03 |
| 1316460421 | Scott Soderstrom Dds,pc | Clinic/Center | 101 W Cascade Way Ste 200, Spokane, WA 99208-6000 | 2017-07-20 |
| 1619423316 | Hi5 Orthodontics | Clinic/Center | 9425 N Nevaa, Suite 100, Spokane, WA 99218 | 2016-09-01 |
| 1578019253 | Debra L. Craig Dds,ps | Clinic/Center | 10103 N Division St Ste 201, Spokane, WA 99218-1383 | 2016-08-31 |
| 1487100442 | Prosser Dentistry | Clinic/Center | 251 E 5th Ave Ste B, Spokane, WA 99202-1327 | 2016-08-30 |
| 1497967517 | Stephen C. Call D.d.s., P.s. | Clinic/Center | 915 East Hawthorne Road, Suite G, Spokane, WA 99218 | 2007-05-03 |
| 1679180046 | Logan P Goulet Dmd Pllc | Clinic/Center | 3150 E 27th Ave # 200, Spokane, WA 99223-4919 | 2020-09-29 |
| 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.