MEADOWDALE DENTAL CENTER (NPI# 1689188336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689188336 |
| Entity Type | Organization |
| Organization Name | MEADOWDALE DENTAL CENTER |
| Practice Address |
7500 Old Military Rd Ne Ste 201 Bremerton WA 98311-3242 |
| Practice Telephone | 3606924705 |
| Practice Fax Number | 3606924846 |
| Mailing Telephone | 3606924705 |
| Mailing Fax Number | 3606924846 |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2017-11-16 |
| Authorized Official Name | DAWN M DIVANO (DENTIST) |
| Authorized Official Telephone | 3606924705 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DR00010155 | WA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | STATE LIC | DE00010155 | 01 |
| Street Address |
7500 OLD MILITARY RD NE STE 201 |
| City | BREMERTON |
| State | WA |
| Zip Code | 98311-3242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811535420 | Naomi Arguelles | Counselor | 5455 Almira Drve Ne, Bremerton, WA 98311 | 2019-12-13 |
| 1306495775 | Audra Rose Kuoppala | Chiropractor | 5050 Wa State Hwy 303, Suite A101, Bremerton, WA 98311 | 2019-09-09 |
| 1891351888 | Amanda Olney Flint | Massage Therapist | 5050 Wa-303, A101, Bremerton, WA 98311 | 2019-05-15 |
| 1265995385 | Daniel Mcclough | Massage Therapist | 5050 Wa-303 A101, Bremerton, WA 98311 | 2019-04-08 |
| 1073032157 | Kingston Crossing Wellness Ps | Chiropractor | 5050 Hwy 303 Ne, Suite A 101, Bremerton, WA 98311 | 2017-09-11 |
| 1811252117 | Kayla Sue Kooker | Massage Therapist | 5050 State Hwy 303 Ne #a101, Bremerton, WA 98311 | 2012-07-12 |
| 1336458983 | Shannon Christine Stewart | Mechanotherapist | 1487 Dawn Rd. Ne, Bremerton, WA 98311 | 2010-09-30 |
| 1174779656 | Kimberly Ann Vickery | Specialist | 5060 Highway 303 Ne, Suite 103, Bremerton, WA 98311 | 2008-08-15 |
| 1790988228 | Cynthia Erickson | Specialist | 9125 Central Valley Rd., Bremerton, WA 98311 | 2007-06-11 |
| 1114132388 | Jennifer Ross Tanguay | Nurse Anesthetist, Certified Registered | 1275 Ne Franklin Ave Ste A, Bremerton, WA 98311 | 2007-05-11 |
| Find all providers in zip 98311 | ||||
| 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 |
|---|---|---|---|---|
| 1790232296 | Rory S. Jefferson, Dds | Dentist | 797 Ne Riddell Rd., Bremerton, WA 98310-3030 | 2016-09-01 |
| 1255789459 | Lisa D Arthur Dmd Ps | Dentist | 739 Ne Riddell Rd, Bremerton, WA 98310-3030 | 2016-05-27 |
| 1538535687 | Bahrum Mehr | Dentist | 3036 Perry Ave Ste C, Bremerton, WA 98310-5300 | 2015-08-12 |
| 1669629374 | Current Dental | Dentist | 2625 Wheaton Way Ste D, Bremerton, WA 98310-3372 | 2008-08-25 |
| 1225205792 | Amanda G Mayes | Dentist | 2520 Perry Ave, Suite A, Bremerton, WA 98310-5219 | 2008-05-13 |
| 1598822132 | Maria Concepcion Grey Cunanan | Dentist | 2317 Wheaton Way, Bremerton, WA 98310 | 2007-01-02 |
| 1275645996 | Keith Rey Redd | Dentist | 930 Park Ave, Bremerton, WA 98337 | 2006-08-31 |
| 1609886563 | Christopher H James | Dentist | 2550 Perry Ave, Bremerton, WA 98310 | 2006-08-09 |
| 1053330084 | Alicia Denise Stephens | Dentist | 616 6th Street, Bremerton, WA 98337 | 2006-07-19 |
| 1740244623 | Gregory Albert Royack | Dentist | 616 Sixth Street, Bremerton, WA 98337 | 2006-04-17 |
| Find all providers in BREMERTON | ||||
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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.