DENTAL PROFESSIONALS OF WASHINGTON QUIRT MONGRAIN GIBREE PC (NPI# 1821606724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821606724 |
| Entity Type | Organization |
| Organization Name | DENTAL PROFESSIONALS OF WASHINGTON QUIRT MONGRAIN GIBREE PC |
| Practice Address |
9514 4th St Ne Unit 102 Lake Stevens WA 98258-1937 |
| Practice Telephone | 4253344001 |
| Mailing Telephone | 4253344001 |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2020-07-16 |
| Authorized Official Name | TABATHA LEMKE (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 2175406078 |
| Is Organization Subpart | Y |
| Parent Organization Name | DENTAL PROFESSIONALS OF WASHINGTON QUIRT MONGRAIN GIBREE PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Chapel Hill Family Dentistry | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932682374 | Dental Professionals of Washington Quirt Mongrain Gibree PC | Dentist | 2807 S Stone St Ste 102, Spokane, WA 99223-4904 | 2018-09-12 |
| 1821582735 | Dental Professionals of Washington Quirt Mongrain Gibree PC | Dentist | 1520 W Garland Ave Ste A, Spokane, WA 99205-2613 | 2018-06-15 |
| 1174737274 | Dental Professionals of Washington Quirt Mongrain Gibree PC | Dentist | 9302 N. Colton Street, Ste 202, Spokane, WA 99218 | 2007-05-09 |
| 1447877857 | Dental Professionals of Washington Quirt Mongrain Gibree PC | Dentist | 6939 Littlerock Rd Sw Ste B, Tumwater, WA 98512-7246 | 2020-07-01 |
| 1316564925 | Dental Professionals of Washington Quirt Mongrain Gibree PC | Dentist | 68 Sw 13th St, Chehalis, WA 98532-3627 | 2020-06-30 |
| 1033757125 | Dental Professionals of Washington Quirt Mongrain Gibree PC | Dentist | 505 Cedar Ave Ste C1, Marysville, WA 98270-4561 | 2019-12-19 |
| 1760033807 | Dental Professionals of Washington Quirt Mongrain Gibree PC | Dentist | 23805 Highway 99 Ste 100, Edmonds, WA 98026-9204 | 2019-09-20 |
| 1538631783 | Dental Professionals of Washington Quirt Mongrain Gibree PC | Dentist | 3926 Cleveland Ave Se, Tumwater, WA 98501-4023 | 2018-12-28 |
| Street Address |
9514 4TH ST NE UNIT 102 |
| City | LAKE STEVENS |
| State | WA |
| Zip Code | 98258-1937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790349116 | Page A Thompson | Assistant Behavior Analyst | 9821 North Davies Rd, Lake Stevens, WA 98258 | 2019-05-01 |
| 1811490550 | Washington Dental Corporation PC | Dentist | 907 Frontier Circle E, Suite 110, Lake Stevens, WA 98258 | 2018-03-08 |
| 1881140499 | Tracy L. Delorm, D.d.s. Pllc | Dentist | 9514 4th St. Ne Unit 102, Lake Stevens, WA 98258 | 2016-09-01 |
| 1932587870 | Nathan Cory | Contractor | 25 95th Dr Ne #105, Lake Stevens, WA 98258 | 2015-05-12 |
| 1902249063 | Troy Slover | Family Medicine | 31 Ne Route 300 Suite 200, Belfair, WA 98258 | 2013-04-09 |
| 1154675064 | Pspd - Lake Stevens Pllc | Dentist | 9421 N. Davies Road #a, Lake Stevens, WA 98258 | 2012-10-30 |
| 1053670364 | Ashley Nicole Sherman | Massage Therapist | 9623 32nd St Se Bldg D Ste 115, Lake Stevens, WA 98258 | 2012-05-07 |
| 1326344391 | Lyman Charles Drown | Specialist/Technologist | 9514 4th Street Ne, Suite 101, Lake Stevens, WA 98258 | 2011-02-08 |
| 1942504071 | Rebekah Erin Callahan | Marriage & Family Therapist | 7304 10th St. Se #b201, Lake Stevens, WA 98258 | 2011-01-04 |
| 1376857235 | Ronald L Rhea | Massage Therapist | 7812 12th St Se, Lake Stevens, WA 98258 | 2010-08-03 |
| Find all providers in zip 98258 | ||||
| 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 |
|---|---|---|---|---|
| 1659505667 | Douglas J Brajcich Jr & Julie Lum Dmd P.C. | Dentist | 515 Hwy 9 Ste 102, Lake Stevens, WA 98258-8523 | 2009-05-05 |
| 1649345844 | Amy H Moslander-thompson | Dentist | 9633 Market Pl, Suite 202, Lake Stevens, WA 98258-7944 | 2006-11-22 |
| 1770656795 | Samiramis Sando | Dentist | 709 State Route 9 Ne, Lake Stevens, WA 98258-7992 | 2006-11-16 |
| 1326421769 | Eduard Skachkov | Dentist | 8933 Market Pl, Lake Stevens, WA 98258-4909 | 2015-07-02 |
| 1124325956 | Amy Moslander-thompson, Dds, Pllc | Dentist | 9633 Market Pl, Suite 202, Lake Stevens, WA 98258-7944 | 2011-02-14 |
| 1720171697 | Tracy Lynn Delorm | Dentist | 9421 N Davies Rd, Lake Stevens, WA 98258-9444 | 2006-10-02 |
| 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 | ||||
| City | LAKE STEVENS |
| Zip Code | 98258 |
Please comment or provide details below to improve the information on DENTAL PROFESSIONALS OF WASHINGTON QUIRT MONGRAIN GIBREE PC.
| 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.