HARBOR KIDS DENTAL (NPI# 1942686845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942686845 |
| Entity Type | Organization |
| Organization Name | HARBOR KIDS DENTAL |
| Practice Address |
108 22nd Ave Sw Ste 16 Olympia WA 98501-2871 |
| Mailing Address |
1148 72nd St E Suite B Tacoma WA 98404-1705 |
| Practice Telephone | 3609435775 |
| Mailing Telephone | 2535375437 |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2015-08-04 |
| Authorized Official Name | JUSTIN VANBIBBER (OWNER) |
| Authorized Official Telephone | 3609435775 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DE60282727 | WA | Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Harbor Kids Dental | 108 22nd Ave Sw, Suite 16, Olympia, WA 98501 |
| Colorado Business Entities | Harbor Kids Dental & Orthodontics of Tacoma PC | 4002 S. M Street, Tacoma, WA 98418 |
| Colorado Business Entities | Harbor Kids Dental, PLLC | 216 W Heron Street, Aberdeen, WA 98520 |
| Colorado Business Entities | Harbor Kids Dental--Olympia, P.C. | 108 22nd Avenue Sw, #16 and #18, Olympia, WA 98501 |
| Washington State Corporations | HARBOR KIDS DENTAL--OLYMPIA, P.C. | 108 22nd Ave. Sw #16, Olympia, WA 98501 |
| Street Address |
108 22ND AVE SW STE 16 |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98501-2871 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124651880 | Marie T Bendig | Counselor | 900 Fairview St Se, #b5, Olympia, WA 98501 | 2020-02-20 |
| 1205469970 | Thurston County Fire Protection Dist 6 | Ambulance | 8047 Normandy St. Se, Olympia, WA 98501 | 2020-02-20 |
| 1134768799 | Living Sound Therapeutic Services, Pllc | Counselor | 729 Devoe St Se, Olympia, WA 98501 | 2019-12-31 |
| 1336797273 | Sea-mar Community Health Center | Dentist | 6004 Capitol Ave Sw, Tumwater, WA 98501 | 2019-09-03 |
| 1093272841 | Eye Love Pllc | Optometrist | 3409 Capitol Blvd Se, Tumwater, WA 98501 | 2019-02-28 |
| 1356815062 | Kerri Wright | Marriage & Family Therapist | 208 Lee St Sw Ste 108, Tumwater, WA 98501 | 2019-01-15 |
| 1952881161 | Paige Gautreaux | Peer Specialist | 908 5th Avenue Se, Olympia, WA 98501 | 2018-08-16 |
| 1548773997 | Carla Van Dam | Psychologist | 2620 Rw Johnson Blvd Sw Suite 204, Tumwater, WA 98501 | 2017-11-08 |
| 1528577202 | Ronald John San Nicolas | Counselor | 1011 10th Ave, Olympia, WA 98501 | 2017-09-25 |
| 1063964187 | Emily Rapesak | Pharmacist | 500 Cleveland Ave Se, Tumwater, WA 98501 | 2016-10-25 |
| Find all providers in zip 98501 | ||||
| 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 |
|---|---|---|---|---|
| 1144838863 | Minh Tram Nguyen | Dentist | 405 Cooper Point Rd Nw # 103, Olympia, WA 98502-4437 | 2020-07-20 |
| 1669972667 | J. Hyung Choi, Dds, P.C. | Dentist | 1540 Cooper Point Rd Sw Ste 450, Olympia, WA 98502-1033 | 2018-02-15 |
| 1114439452 | Access Dental LLC | Dentist | 2417 Pacific Ave Se Ste A, Olympia, WA 98501-2052 | 2017-10-26 |
| 1346796141 | Suneet S Bath D M D P S | Dentist | 4538 Martin Way E Ste 103, Olympia, WA 98516-5387 | 2016-08-31 |
| 1700231354 | Norman Hein | Dentist | 2202 Capitol Way S, Olympia, WA 98501-2831 | 2016-05-02 |
| 1962807305 | Richa Mehta | Dentist | 1530 Black Lake Boulevard, Suite A103, Olympia, WA 98502 | 2014-10-28 |
| 1477983450 | Costa Verde 3-d Imaging Center, Pllc | Dentist | 1320 Harrison Ave Nw, Olympia, WA 98502-5349 | 2013-11-12 |
| 1487974341 | South Sound Dentures, P.s. | Dentist | 1822 Black Lake Blvd. Sw Suite 101, Olympia, WA 98512 | 2010-06-02 |
| 1508197633 | Angela Jean Chavez | Dentist | 3773 Martin Way E # C, Suite 105, Olympia, WA 98506-5048 | 2010-01-29 |
| 1487988598 | Steven T. K. Wan | Dentist | 2705 Limited Ln Nw Ste B, Olympia, WA 98502-6504 | 2009-09-22 |
| Find all providers in OLYMPIA | ||||
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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.