POMEROY DENTAL CENTER (NPI# 1245770353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245770353 |
| Entity Type | Organization |
| Organization Name | POMEROY DENTAL CENTER |
| Practice Address |
813 1/2 Columbia St Pomeroy WA 99347 |
| Practice Telephone | 5098433495 |
| Practice Fax Number | 5098433496 |
| Mailing Telephone | 5098433495 |
| Mailing Fax Number | 5098433496 |
| Enumeration Date | 2017-03-08 |
| Last Update Date | 2017-03-08 |
| Authorized Official Name | DR. DAN R. WILSON (OWNER) |
| Authorized Official Telephone | 5098433495 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 5974 | WA | Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | POMEROY DENTAL CENTER, LLC | 813 1/2 Columbia Street, Pomeroy, WA 99347 |
| Street Address |
813 1/2 COLUMBIA ST |
| City | POMEROY |
| State | WA |
| Zip Code | 99347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720274459 | Lisa C Barnes | Nurse Practitioner | 446 Pataha St., Pomeroy Medical Clinic, Pomeroy, WA 99347 | 2007-09-17 |
| 1386774222 | Garfield County Health District | Public Health or Welfare | 121 South 10th Street, Pomeroy, WA 99347 | 2007-03-07 |
| 1184768228 | Garfield County Fire District | Ambulance | 789 Main, Pomeroy, WA 99347 | 2007-02-19 |
| 1427126259 | Pomeroy Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 764 Main St, Pomeroy, WA 99347 | 2006-12-01 |
| 1992888481 | Quality Behavioral Health | Case Management | 856 Main Street, Pomeroy, WA 99347 | 2006-10-20 |
| 1346351525 | Dan R Wilson | Dentist | 813 1/2 Columbia Street, 813 1/2 Columbia #99, Pomeroy, WA 99347 | 2006-08-31 |
| 1073531182 | Pomeroy School District | Local Education Agency (LEA) | 1221 10th St, Pomeroy, WA 99347 | 2006-07-17 |
| 1992989800 | Garfield County Fire District No 1 | Ambulance | 949 Main St, Pomeroy, WA 99347 | 2007-12-27 |
| 1205975117 | Donna K. Hunt | Counselor | 66 N 6th St., Pomeroy, WA 99347-0012 | 2007-02-06 |
| 1861546038 | Lawrence Scott Smith | Dentist | 813 Columbia St, Pomeroy, WA 99347-0099 | 2007-01-23 |
| Find all providers in zip 99347 | ||||
| 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 |
|---|---|---|---|---|
| 1861546038 | Lawrence Scott Smith | Dentist | 813 Columbia St, Pomeroy, WA 99347-0099 | 2007-01-23 |
| 1992928832 | Harold Dana Brown Jr. | Dentist | 200 W Main St, Pomeroy, OH 45769-1287 | 2007-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851991319 | Ashley Lynn Wildhaber | Dentist | 111 Tumwater Blvd Se # 301, Tumwater, WA 98501-6400 | 2020-10-26 |
| 1124627757 | Eric Kun Kim | Dentist | 7160 Burden Blvd Ste 102, Pasco, WA 99301-4469 | 2020-10-24 |
| 1174121966 | Brandon C Hahn | Dentist | 6574 153rd Ave Se, Bellevue, WA 98006-5424 | 2020-10-13 |
| 1144828237 | William Garcia | Dentist | 1214 Sw Scotton Way Ste 101, Battle Ground, WA 98604-2715 | 2020-10-12 |
| 1568069391 | Neha Agarwal | Dentist | 13605 Ne 10th Pl # 8-101, Bellevue, WA 98005-2743 | 2020-10-05 |
| 1134736028 | Ibraheem M Al Naqshabandy | Dentist | 4747 30th Ave Ne Apt K174, Seattle, WA 98105-4032 | 2020-09-25 |
| 1598371866 | Maryam Tabarestani | Dentist | 24325 7th Pl W, Bothell, WA 98021-8525 | 2020-09-21 |
| 1922614890 | Vicky Herrera | Dentist | 10720 5th Ave Ne Apt 605, Seattle, WA 98125-7258 | 2020-09-16 |
| 1407461825 | Jangsu Kiyoshi | Dentist | 3006 Mahogany St Ne, Lacey, WA 98516-5589 | 2020-09-11 |
| 1407461270 | Crisafulli Dental | Dentist | 18920 Bothell Way Ne Ste 200, Bothell, WA 98011-1981 | 2020-09-09 |
| Find all providers with the same taxonomy | ||||
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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.