C ROSS SIMONDS DDS PS (NPI# 1982790630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982790630 |
| Entity Type | Organization |
| Organization Name | C ROSS SIMONDS DDS PS |
| Other Organization Name | LIBERTY LAKE DENTAL CARE |
| Practice Address |
23403 E Mission Ave Suite C Liberty Lake WA 99019-7553 |
| Practice Telephone | 5098931119 |
| Mailing Telephone | 5098931119 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. C ROSS SIMONDS (PRESIDENT) |
| Authorized Official Telephone | 5098931119 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DE00008443 | WA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Liberty Lake Dental Care | Doing Business As Name - Organization |
| Street Address |
23403 E MISSION AVE SUITE C |
| City | LIBERTY LAKE |
| State | WA |
| Zip Code | 99019-7553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184163255 | Caryn Baksis | Counselor | 23403 E Mission Ave, Suite 203, Liberty Lake, WA 99019-7553 | 2017-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194201533 | Lorena Margaret De La Rosa | Nurse Practitioner | 22820 E Appleway Ave Ste A, Liberty Lake, WA 99019 | 2018-07-18 |
| 1831641570 | Shirla Underwood | Spec/Tech, Cardiovascular | 3705 S Molter Rd, Liberty Lake, WA 99019 | 2016-10-28 |
| 1215393079 | Samuel Lionel Nelson | Chiropractor | 23801 East Appleway Ave, #110, Liberty Lake, WA 99019 | 2016-01-11 |
| 1841627601 | Noland Peterdy | Pharmacist | 1423 N Molter 727, Liberty Lake, WA 99019 | 2013-10-10 |
| 1043559446 | Phillip Wayne Harris | Reflexologist | E 23505 Appleway, Liberty Lake, WA 99019 | 2013-02-05 |
| 1710231766 | Mark Autrey | Pharmacist | 23010 E Settler Drive, Spokane, WA 99019 | 2012-10-30 |
| 1982971107 | Michele Ladd | Dental Hygienist | 22826 East Clearwater Lane, Liberty Lake, WA 99019 | 2011-11-17 |
| 1467689166 | Drostan Gregg Baker | Family Medicine | 2207 N Molter Rd Ste 203, Liberty Lake, WA 99019 | 2009-06-19 |
| 1619117959 | Joline Marie Messina | Behavioral Analyst | 1324 N Liberty Lake Rd # 193, Liberty Lake, WA 99019 | 2009-02-26 |
| 1144427964 | J. Evans, Dmd, P.s. | Dentist | 1327 N Stanford Lane, Suite B, Liberty Lake, WA 99019 | 2007-06-27 |
| Find all providers in zip 99019 | ||||
| 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 |
|---|---|---|---|---|
| 1285017301 | Jasmine Olson | Dentist | 1328 N Stanford Ln Ste 100, Liberty Lake, WA 99019-5034 | 2015-07-07 |
| 1053554329 | Michael Francis Casey | Dentist | 2712 N Chase Rd, Liberty Lake, WA 99019-8632 | 2009-04-15 |
| 1871546184 | Mc-ll LLC | Dentist | 21801 E Country Vista Dr, Ste 105, Liberty Lake, WA 99019 | 2006-05-18 |
| 1255658886 | Liberty Lake Family Dentistry | Dentist | 2207 N Molter Rd, Suite 200, Liberty Lake, WA 99019-7570 | 2010-04-21 |
| 1932228236 | Michael P Condon | Dentist | 2207 N Molter Rd, Liberty Lake, WA 99019-7570 | 2007-03-28 |
| 1063523165 | Michelle Renee Olmstead | Dentist | 2207 N Molter Rd, Suite 200, Liberty Lake, WA 99019-7570 | 2006-08-31 |
| 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 | LIBERTY LAKE |
| Zip Code | 99019 |
Please comment or provide details below to improve the information on C ROSS SIMONDS DDS PS.
| 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.