DR. VINCENT JOHN FRATTALI (NPI# 1699751115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699751115 |
| Entity Type | Individual |
| Full Name | DR. VINCENT JOHN FRATTALI |
| Credential | D. D. S. |
| Practice Address |
6203 Agency Loop Rd Wellpinit WA 99040-0357 |
| Mailing Address |
Po Box 357 Wellpinit WA 99040-0357 |
| Practice Telephone | 5092584517 |
| Practice Fax Number | 5092584456 |
| Mailing Telephone | 5092584517 |
| Mailing Fax Number | 5092584456 |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2011-04-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
07883 | MD | Dental Providers |
| Street Address |
6203 AGENCY LOOP RD |
| City | WELLPINIT |
| State | WA |
| Zip Code | 99040-0357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215274725 | Mark Jurges | Pharmacist | 6203 Agency Loop Rd, Wellpinit, WA 99040 | 2013-01-04 |
| 1790954907 | David C Wynecoop Memorial Clinic Dhhs Ihs Wellpinit Service Unit | Durable Medical Equipment & Medical Supplies | 6203 Agency Loop Rd, Wellpinit, WA 99040-0357 | 2008-02-22 |
| 1457407298 | Carolina E Sanchez-van Komen | Licensed Practical Nurse | 6203 Agency Loop Rd, Box 357, Wellpinit, WA 99040 | 2007-01-26 |
| 1164575502 | Leanne M Zilar | Nurse Practitioner | 6203 Agency Loop Rd, Wellpinit, WA 99040 | 2007-01-19 |
| 1316034580 | David C Wynecoop Memorial Clinic Dhhs Ihs Wellpinit Service Unit | Clinic/Center | 6203 Agency Loop Rd, Wellpinit, WA 99040-0357 | 2006-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339966 | Derrick Lemont Singleton | Counselor | 6233 Old School Rd, 6233 Old School Rd, Wellpinit, WA 99040 | 2019-11-01 |
| 1023652195 | Robert Joseph Hayward | Counselor | 6228 East Old School Rd, Wellpinit, WA 99040 | 2019-11-01 |
| 1033503107 | Shad Burnett St Paul | Counselor | 6228 E. Old School Rd, Wellpinit, WA 99040 | 2015-03-26 |
| 1003183427 | Kimberley J Doyle | Counselor | 6228 E Old School Rd, Wellpinit, WA 99040 | 2011-11-30 |
| 1649584665 | Lonna M Hughes | Counselor | 6228 East Old School Road, Wellpinit, WA 99040 | 2010-08-02 |
| 1083849129 | Phyllis Lorraine Grant | Counselor | 6228 Old School Rd., Wellpinit, WA 99040 | 2009-05-19 |
| 1558596775 | Jeanne Laree White | Social Worker | 6228 E. Old School Rd., Wellpinit, WA 99040 | 2009-05-18 |
| 1467644294 | Spokane Tribe of Indians | Community/Behavioral Health | 6228 E. School Road, Wellpinit, WA 99040 | 2007-08-15 |
| 1750411310 | David C Wynecoop Memorial Clinic Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Agency Square, Wellpinit, WA 99040 | 2007-03-06 |
| 1588701858 | Kathleen A Ames | Registered Nurse | 6203 Agency Loop Rd., Welllpinit, WA 99040 | 2007-01-30 |
| Find all providers in zip 99040 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113015 | Victor Bing-sheng Shih | Dentist | 9235 158th Pl Ne, Redmond, WA 98052-7524 | 2020-10-28 |
| 1730789082 | Kim & Cervantes-kim Dds Pllc | Dentist | 945 Elliott Ave W Ste 212, Seattle, WA 98119-3645 | 2020-10-27 |
| 1285233023 | Se Won An | Dentist | 7311 Ne 141st St Ste 2, Kirkland, WA 98034-9703 | 2020-10-22 |
| 1760080469 | Tanveer Singh Buttar | Dentist | 13955 57th Ave S, Tukwila, WA 98168 | 2020-10-14 |
| 1801494711 | Caroline Brown Corbett | Dentist | 8012 112th St Ct E #320, Puyallup, WA 98373 | 2020-10-13 |
| 1790383867 | Washington Dental Corporation, PC | Dentist | 620 1st Ave N, Seattle, WA 98109-4001 | 2020-10-12 |
| 1275140535 | Byeonguk Kang | Dentist | 1959 Ne Pacific St Rm B403, Seattle, WA 98195-0001 | 2020-09-29 |
| 1609483239 | Baptista Kwok Dds1 Pllc | Dentist | 17265 Se Wax Rd., #101, Covington, WA 98042 | 2020-09-28 |
| 1013524743 | David Park | Dentist | 810 3rd Ave Ste 200, Seattle, WA 98104-1614 | 2020-09-27 |
| 1821605940 | Jade W. Gan, Dds, Pllc | Dentist | 12902 Bothell Everett Hwy Ste E, Everett, WA 98208-6635 | 2020-09-24 |
| 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.