FORT VANCOUVER DENTAL CENTRE (NPI# 1063616985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063616985 |
| Entity Type | Organization |
| Organization Name | FORT VANCOUVER DENTAL CENTRE |
| Practice Address |
718 Ne 87th Ave Ste 100 Vancouver WA 98664-1970 |
| Practice Telephone | 3602562400 |
| Practice Fax Number | 3602539123 |
| Mailing Telephone | 3602562400 |
| Mailing Fax Number | 3602539123 |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. DAVID B SWAN (OWNER) |
| Authorized Official Telephone | 3602562400 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 5262209 | 05 |
| Street Address |
718 NE 87TH AVE STE 100 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98664-1970 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609836840 | Philemon Lynn Anderson | Otolaryngology | 718 Ne 87th Ave Ste 100, Vancouver, WA 98664-1970 | 2006-03-23 |
| 1699884601 | David B Swan | Dentist | 718 Ne 87th Ave Ste 100, Vancouver, WA 98664-1970 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285249938 | Angelica Maria Parle-fresquez | Speech-Language Pathologist | Early Childhood Assessment Center - Lieser School, 301 S. Lieser Rd, Vancouver, WA 98664 | 2020-09-10 |
| 1467923441 | Elizabeth Steen | Counselor | 230 E. State St., Mossyrock, WA 98664 | 2018-12-17 |
| 1497241657 | Chelsey Nicole Parker | Peer Specialist | 9815 Ne 3rd St, Vancouver, WA 98664 | 2018-07-10 |
| 1881145431 | Brent Homan | Occupational Therapist | 807 Se Morgan Rd., Vancouver, WA 98664 | 2016-10-19 |
| 1114474277 | Rebecca Marie Stefan | Nurse's Aide | 10025 Ne 19th St, Vancouver, WA 98664 | 2016-09-07 |
| 1528454105 | Alicia Ford | Dietitian, Registered | 700 Ne 87th Ave Ste 280, Vancouver, WA 98664 | 2015-04-10 |
| 1033504261 | Reid Roberts Bennett | Anesthesiology | 505 Ne 87th Ave Ste 210, Vancouver, WA 98664 | 2015-04-03 |
| 1235550856 | Nikolay Nikolaevich Chernukhin Jr. | Chiropractor | 221-a Ne 104th Ave, Suite 205, Vancouver, WA 98664 | 2013-12-27 |
| 1013278712 | Serena Harker | Physical Therapy Assistant | 221a Ne 104th Ave, Suite #205, Vancouver, WA 98664 | 2012-05-30 |
| 1295091080 | Rebeca C Johnson | Massage Therapist | 11015 Ne 4th Plain Suite B, Vancouver, WA 98664 | 2012-04-05 |
| Find all providers in zip 98664 | ||||
| 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 |
|---|---|---|---|---|
| 1417565672 | Gideon Michael Arnett | Dentist | 811 Ne 112th Ave Ste 100, Vancouver, WA 98684-5115 | 2020-07-14 |
| 1144787342 | Alfordable Dental,llc | Dentist | 13720 Ne 28th St Ste A, Vancouver, WA 98682-8289 | 2019-02-23 |
| 1184139933 | Lalee Chialong Lo | Dentist | 918 Se 164th Ave Ste 200, Vancouver, WA 98683-9603 | 2017-12-01 |
| 1861918872 | Lara Kacherian | Dentist | 8720 Ne Centerpointe Dr Ste 221, Vancouver, WA 98665-1162 | 2017-08-21 |
| 1477076727 | Brian Benasa Bardeloza | Dentist | 605 Se 164th Ave Ste 103, Vancouver, WA 98684 | 2017-07-19 |
| 1154874196 | Monica Calderon, Dmd Ps | Dentist | 2501 Ne 134th St Ste 202, Vancouver, WA 98686-3028 | 2016-07-26 |
| 1043665375 | Garden City Dental | Dentist | 8311 Ne Highway 99 Ste E, Vancouver, WA 98665-8877 | 2016-04-23 |
| 1033465018 | Julia Gourley | Dentist | 13510 Ne 84th St Ste 105, Vancouver, WA 98682-3092 | 2012-07-27 |
| 1306103106 | Lenna Jeanne Ostenson | Dentist | 2702 Ne 78th St Ste 104, Vancouver, WA 98665-0664 | 2012-04-18 |
| 1376814178 | Dane Andersen | Dentist | 2415 Ne 134th St Ste 307, Vancouver, WA 98686-3029 | 2012-01-25 |
| Find all providers in VANCOUVER | ||||
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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.