CONDON DENTAL SERVICES


Address: 20 W 1st, Odessa, WA 99159-0459
Phone: 5099822605

CONDON DENTAL SERVICES (NPI# 1871548925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871548925
Entity Type Organization
Organization Name CONDON DENTAL SERVICES
Other Organization Name ODESSA DENTAL CLINIC
Practice Address 20 W 1st
Odessa
WA 99159-0459
Mailing Address Po Box 429
20 W First
Odessa
WA 99159-0429
Practice Telephone 5099822605
Practice Fax Number 5099829951
Mailing Telephone 5099822605
Mailing Fax Number 5099829951
Enumeration Date 2006-05-24
Last Update Date 2012-11-02
Authorized Official Name MICHAEL P CONDON (OWNER)
Authorized Official Telephone 5099822605
Authorized Official Credential DR
Is Organization Subpart Y
Parent Organization Name CONDON DENTAL SERVICES, PS

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
8440 WA Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA 5054358 05

Other Provider/Organization Names

Other Name Type Code
Odessa Dental Clinic Doing Business As Name - Organization

Other Data Sources

Entity Type Entity Name Entity Address
Washington State Corporations CONDON DENTAL SERVICES, P.S., INC. 5901 N. Lidgerwood, Suite 233, Spokane, WA 98207

Office Location

Street Address 20 W 1ST
City ODESSA
State WA
Zip Code 99159-0459

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831683168 Gregg Liedtka Dmd Pllc Dentist 20 W 1st Ave, Odessa, WA 99159 2018-06-20
1891845046 Troy D. Eldridge Sr. Chiropractor 18 W. 1st Avenue, Odessa, WA 99159 2007-01-11
1780746859 Marlene K Brendell Family Medicine 510 E. Amende, Odessa, WA 99159 2006-12-15
1023122520 Lincoln County Public Hospital District 1 Clinic/Center 510 E Amende, Odessa, WA 99159 2006-08-19
1114031614 Lincoln County Public Hospital District 1 Assisted Living Facility 506 E. Amende, Odessa, WA 99159 2006-08-19
1639283971 Lincoln County Public Hospital District 1 General Acute Care Hospital E. 502 Amende, Odessa, WA 99159 2006-08-17
1245343193 Lincoln County Public Hospital District 1 Ambulance 502 E Amende, Odessa, WA 99159 2006-08-16
1073524690 Lincoln County Public Hospital District 1 General Acute Care Hospital 502 E. Amende, Odessa, WA 99159 2006-08-10
1699977561 Eldridge Chiropractic Ps Chiropractor 18 W. 1st Avenue, Odessa, WA 99159 2007-06-04
1740317544 Lincoln County Public Hospital District 1 Family Medicine 510 E. Amende, Odessa, WA 99159 2007-02-27
Find all providers in zip 99159

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427619238 Benjamin Bennett Waites Dentist 4901 E 42nd St Ste B, Odessa, TX 79762-7338 2019-06-23
1619443736 Abbeville Dentistry - Odessa East, Pllc Dentist 2499 E 11th St, Odessa, TX 79761-4232 2018-10-16
1124535885 Anisha Patel Dentist 6909 Arabian Rd, Odessa, FL 33556-1825 2018-01-03
1346759487 Andes Dental Pllc Dentist 1157 E 42nd St Ste A, Odessa, TX 79762-7723 2017-09-20
1629592217 Quyen Tran Dentist 2260 Linda Ave Ste 103, Odessa, TX 79763-2665 2017-07-26
1861920886 Constance Schreck Dentist 2631 Faudree Rd Ste B, Odessa, TX 79765-8530 2017-06-03
1295184927 Farqad Kamal Abuoudeh Dentist 6109 Tx-191 Frontage, Odessa, TX 79762 2016-06-03
1285011882 Precious Smiles Dentistry, PC Dentist 2713 N Grandview Ave, Odessa, TX 79762-6952 2015-05-04
1821494121 Robert Meek Dentist 7331 Eastridge Rd, Odessa, TX 79765-8903 2014-11-13
1548675861 Tina Desai Dentist 6109 Texas 191, Odessa, TX 79762 2014-06-25
Find all providers in ODESSA

Competitor

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City ODESSA
Zip Code 99159

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Dataset Information

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.

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