THE PROFESSIONAL DENTURE CENTER (NPI# 1780139931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780139931 |
| Entity Type | Organization |
| Organization Name | THE PROFESSIONAL DENTURE CENTER |
| Practice Address |
533 S Mission St Wenatchee WA 98801-3047 |
| Practice Telephone | 5096647308 |
| Practice Fax Number | 5096644068 |
| Mailing Telephone | 5096647308 |
| Mailing Fax Number | 5096644068 |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2016-08-17 |
| Authorized Official Name | JONATHAN M DICKSON (DENTIST) |
| Authorized Official Telephone | 5096647308 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 292200000X | Dental Laboratory | 60292621 | WA | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2059589 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962916379 | The Professional Denture Center | Denturist | 533 South Mission St, Wenatchee, WA 98801 | 2017-11-21 |
| Street Address |
533 S MISSION ST |
| City | WENATCHEE |
| State | WA |
| Zip Code | 98801-3047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003960238 | Bernie Kopfer | Dentist | 533 S Mission St, Wenatchee, WA 98801-3047 | 2007-01-23 |
| 1235769589 | Sleep Better Wenatchee LLC | Dentist | 533 S Mission St, Wenatchee, WA 98801-3047 | 2020-01-24 |
| 1174033724 | Walter Scott Walden | Denturist | 533 S Mission St, Wenatchee, WA 98801-3047 | 2017-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033728365 | Jeannie Jones | Massage Therapist | 15 2nd St, Hallway 15, Wenatchee, WA 98801 | 2020-07-22 |
| 1184246688 | Mireya Ann Bahena | Case Manager/Care Coordinator | Catholic Charities of The Diocese of 145 S. Worthen St., Wenatchee, WA 98801 | 2020-05-07 |
| 1871067843 | Bfg Wenatchee Propco Iv, LLC | Assisted Living Facility | 817 Red Apple Rd, Wenatchee, WA 98801 | 2019-01-14 |
| 1982177283 | Michael Lee Miller | Behavioral Analyst | 264 N. Mission, Wenatchee, WA 98801 | 2019-01-09 |
| 1972073526 | Daniel Jentges | Family Medicine | 413 N Mission St., Wenatchee, WA 98801 | 2018-11-27 |
| 1972010437 | Daniel Nickel | Occupational Therapy Assistant | 217 Wetherald St, Wenatchee, WA 98801 | 2018-01-05 |
| 1962916379 | The Professional Denture Center | Denturist | 533 South Mission St, Wenatchee, WA 98801 | 2017-11-21 |
| 1467978155 | Matthew Jerauld Laws | Massage Therapist | 416 Ninth Street, Wenatchee, WA 98801 | 2017-08-15 |
| 1073051363 | Kimberley Rae Chambers | Massage Therapist | 25 N Wenatchee Ave Suite 104, Wenatchee, WA 98801 | 2017-02-07 |
| 1841746187 | Valentina Alvarez | Counselor | 145 S Worthern, Wenatchee, WA 98801 | 2016-08-28 |
| Find all providers in zip 98801 | ||||
| Taxonomy Code | 292200000X |
| Grouping | Laboratories |
| Classification | Dental Laboratory |
| A commercial laboratory specializing in the construction of dental appliances that conform to a dentist’s specifications including the construction of dentures (complete or partial), orthodontic appliances, bridgework, crowns, and inlays. |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 1245. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316266760 | Re Anderson Dental Lab | Dental Laboratory | 1915 N Division St, Spokane, WA 99207-2253 | 2010-05-25 |
| 1447429840 | R-k Holdings Inc | Dental Laboratory | 705 Se Park Crest Ave, Suite A 130, Vancouver, WA 98683-1304 | 2008-02-29 |
| 1518406339 | Summit Dental Lab | Dental Laboratory | 1590 Woodridge Dr Se, Port Orchard, WA 98366-3818 | 2017-02-13 |
| 1558803171 | J.a. Denture Clinic LLC | Dental Laboratory | 3226 208th Pl Sw, Lynnwood, WA 98036-7884 | 2016-11-14 |
| 1750704540 | Tacoma Diagnostic Imaging Center, LLC | Dental Laboratory | 6004 Westgate Blvd, Suite 210, Tacoma, WA 98406-2503 | 2014-01-29 |
| 1144653601 | Arcus Laboratory | Dental Laboratory | 5701 Ne Bothell Way, Suite 7, Kenmore, WA 98028-9400 | 2013-08-19 |
| 1053697243 | Northpointe Imaging Center, LLC | Dental Laboratory | 9425 N Nevada St Ste 100, Spokane, WA 99218-1286 | 2011-11-01 |
| 1114229721 | Sheeler Denture Clinic | Dental Laboratory | 680 W Washington St, Suite E-106, Sequim, WA 98382-3264 | 2010-12-02 |
| 1497070650 | Dentures 4 U Lab Inc | Dental Laboratory | 5219 W Clearwater Ave, Suite 3, Kennewick, WA 99336-1914 | 2010-03-31 |
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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.