SAGEBRUSH DENTAL LLC (NPI# 1265999494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265999494 |
| Entity Type | Organization |
| Organization Name | SAGEBRUSH DENTAL LLC |
| Other Organization Name | CASCADE DENTURE DENTIST |
| Practice Address |
1114 N Mission St Ste C Wenatchee WA 98801-6711 |
| Mailing Address |
1335 Pitcher Canyon Rd Wenatchee WA 98801-9448 |
| Practice Telephone | 5094368202 |
| Mailing Telephone | 3606207266 |
| Enumeration Date | 2019-02-24 |
| Last Update Date | 2020-03-23 |
| Authorized Official Name | DR. ERICH JURGES (OWNER) |
| Authorized Official Telephone | 5094368202 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122400000X | Denturist | Dental Providers | ||
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Cascade Denture Dentist | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 714 N Chelan Ave Ste B, Wenatchee, WA 988012069 | 5096625322 | 5092146536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619434552 | Sagebrush Dental LLC | Dentist | 1114 N Mission St Ste A, Wenatchee, WA 98801-6711 | 2019-02-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SAGEBRUSH DENTAL LLC | 1114 N Mission St, Wenatchee, WA 98801-6711 |
| Washington State Corporations | SAGEBRUSH DENTAL LLC | 1114 North Mission, Suite A, Wenatchee, WA 98801-6711 |
| Street Address |
1114 N MISSION ST STE C |
| City | WENATCHEE |
| State | WA |
| Zip Code | 98801-6711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033728365 | Jeannie Jones | Massage Therapist | 15 2nd St, Hallway 15, Wenatchee, WA 98801 | 2020-07-22 |
| 1184246688 | Mireya Ann Bahena | Case Manager/Care Coordinator | Catholic Charities of The Diocese of 145 S. Worthen St., Wenatchee, WA 98801 | 2020-05-07 |
| 1871067843 | Bfg Wenatchee Propco Iv, LLC | Assisted Living Facility | 817 Red Apple Rd, Wenatchee, WA 98801 | 2019-01-14 |
| 1982177283 | Michael Lee Miller | Behavioral Analyst | 264 N. Mission, Wenatchee, WA 98801 | 2019-01-09 |
| 1972073526 | Daniel Jentges | Family Medicine | 413 N Mission St., Wenatchee, WA 98801 | 2018-11-27 |
| 1972010437 | Daniel Nickel | Occupational Therapy Assistant | 217 Wetherald St, Wenatchee, WA 98801 | 2018-01-05 |
| 1962916379 | The Professional Denture Center | Denturist | 533 South Mission St, Wenatchee, WA 98801 | 2017-11-21 |
| 1467978155 | Matthew Jerauld Laws | Massage Therapist | 416 Ninth Street, Wenatchee, WA 98801 | 2017-08-15 |
| 1073051363 | Kimberley Rae Chambers | Massage Therapist | 25 N Wenatchee Ave Suite 104, Wenatchee, WA 98801 | 2017-02-07 |
| 1841746187 | Valentina Alvarez | Counselor | 145 S Worthern, Wenatchee, WA 98801 | 2016-08-28 |
| Find all providers in zip 98801 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811495773 | Z. Chen., D.m.d., P.l.l.c | Clinic/Center | 620 N Emerson Ave Ste 304, Wenatchee, WA 98801-6619 | 2018-01-25 |
| 1114470432 | Gundersen Dental, Pllc | Clinic/Center | 251 N. Chelan Ave, Wenatchee, WA 98801 | 2016-08-03 |
| 1912230152 | Geoffrey T Ping, Ps | Clinic/Center | 250 N Mission St, Wenatchee, WA 98801-2004 | 2009-09-04 |
| 1053912741 | Bryan Fletcher Dds Msd Ps | Clinic/Center | 650 N Miller St, Wenatchee, WA 98801-2044 | 2020-11-08 |
| 1023566221 | Drs. Ottosen and Nygard, Pllc | Clinic/Center | 1010 5th St, Wenatchee, WA 98801-1823 | 2016-09-15 |
| 1285087296 | Stephen R. Ottosen, D.d.s., M.s.d., P.s. | Clinic/Center | 1010 5th St, Wenatchee, WA 98801-1823 | 2016-07-14 |
| 1699128728 | Green Dental | Clinic/Center | 1008 5th St, Wenatchee, WA 98801-1823 | 2016-07-13 |
| 1083812689 | Columbia Valley Community Health | Clinic/Center | 600 Orondo Ave, Ste 1, Wenatchee, WA 98801-2800 | 2007-07-05 |
| 1255545802 | Phillip E Harrison Dds Ps | Clinic/Center | 214 2nd St, Wenatchee, WA 98801-2197 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700671 | K.lee, Dds, Pllc. | Clinic/Center | 20709 Mountain Hwy E # 102, Spanaway, WA 98387-8580 | 2020-11-06 |
| 1346841376 | Ralf F. Schuler, Dr. Med. Dent., Msd,pllc | Clinic/Center | 205 W Fairhaven Ave Ste C, Burlington, WA 98233-1062 | 2020-11-05 |
| 1356942684 | Healthy Smiles Northwest | Clinic/Center | 11808 18th St Se, Lake Stevens, WA 98258-2046 | 2020-11-03 |
| 1306446240 | Christine A Woodward, Dds, Pllc | Clinic/Center | 45860 Main St, Concrete, WA 98237 | 2020-10-29 |
| 1215535695 | Ellingsen Henneberg Pllc | Clinic/Center | 2607 S Southeast Blvd Ste B210, Spokane, WA 99223-7614 | 2020-10-16 |
| 1174121792 | Evolve Dental LLC | Clinic/Center | 4410 194th St Sw Ste A, Lynnwood, WA 98036-5598 | 2020-10-15 |
| 1326646035 | Natasha Habib Dds Ps | Clinic/Center | 1025 153rd St Se Ste 103, Mill Creek, WA 98012-4051 | 2020-10-14 |
| 1386241636 | Mellissa Ilgen, Dds, Pllc | Clinic/Center | 26114 Illinois Ave Ne, Kingston, WA 98346-7674 | 2020-10-08 |
| 1417554932 | Young, Yeung, Lee, Hockin, P.s | Clinic/Center | 2207 2nd Ave, Seattle, WA 98121-2016 | 2020-10-07 |
| 1164039731 | Consolidated Dental Three | Clinic/Center | 19221 108th Ave Se Ste 2, Renton, WA 98055-7369 | 2020-09-28 |
| 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.