IVORY DENTAL PLLC (NPI# 1275027591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275027591 |
| Entity Type | Organization |
| Organization Name | IVORY DENTAL PLLC |
| Practice Address |
424 N. Warren Ave. Newport WA 99156 |
| Practice Telephone | 5094475960 |
| Mailing Telephone | 5094475960 |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2018-06-20 |
| Authorized Official Name | BENJAMIN HULL (OWNER/PRESIDENT) |
| Authorized Official Telephone | 2082631412 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DE60855077 | WA | Dental Providers |
| Street Address |
424 N. WARREN AVE. |
| City | NEWPORT |
| State | WA |
| Zip Code | 99156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558764845 | Russell John Stephens | Dentist | 424 N. Warren Ave., Newport, WA 99156 | 2014-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720535297 | Newport Dental | Clinic/Center | 610 West Second St., Box 849, Newport, WA 99156 | 2016-09-01 |
| 1033665278 | Elisabeth Mackey | Nurse Practitioner | 704 West Pine Street, Newport, WA 99156 | 2016-08-28 |
| 1215289285 | Mary Sue Siemsen | Speech-Language Pathologist | 1201 W. 5th Street, Newport, WA 99156 | 2012-10-15 |
| 1699027797 | Denise Anderson | Registered Nurse | 1380 W. 5th Street, Newport, WA 99156 | 2012-10-12 |
| 1174840532 | Tina Diane Vanzandt | Counselor | 405 W Walnut St Ste 3, Newport, WA 99156 | 2010-04-26 |
| 1447415252 | Carol Townley | Social Worker | 105 S Garden Avenue, Box 5055, Newport, WA 99156 | 2008-07-21 |
| 1992912117 | Lois A. Robertson | Massage Therapist | 322 South Washington Avenue, Newport, WA 99156 | 2007-05-17 |
| 1740312073 | Amber Lyne Salesky | Massage Therapist | 601 Hwy 20, Newport, WA 99156 | 2007-03-12 |
| 1124159900 | Pend Oreille County Public Hospital District No 1 | Clinic/Center | 100 S Scott, Newport, WA 99156 | 2007-03-07 |
| 1558405381 | Bonnie D Bliss | Chiropractor | 601 State Route 20, Newport, WA 99156 | 2007-02-16 |
| Find all providers in zip 99156 | ||||
| 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 |
|---|---|---|---|---|
| 1265949903 | Jodeci Malixi | Dentist | 494 Highland Ave #1, Newport, VT 05855 | 2018-01-03 |
| 1396118824 | Anchor Dental | Dentist | 37 Long Wharf Mall, Newport, RI 02840-2906 | 2015-11-05 |
| 1679851257 | Benjamin J Messmer | Dentist | 23 E 8th St, Newport, KY 41071-1866 | 2011-07-29 |
| 1760678593 | Scott Allan Loiselle | Dentist | 612 Sw 9th St, Newport, OR 97365-4728 | 2007-09-14 |
| 1942416565 | Anne Marie Meyer | Dentist | 1660 N Coast Hwy, Newport, OR 97365-2357 | 2007-05-14 |
| 1265551105 | Richatd Stengel | Dentist | East Bay Community Action Program, 19 Broadway, Newport, RI 02840 | 2007-03-29 |
| 1023149903 | Michael C Benenati | Dentist | 50 John Stark Hwy, Newport, NH 03773-1811 | 2007-03-09 |
| 1437288065 | Douglas K Braun | Dentist | 40 E 9th St, Newport, KY 41071 | 2007-03-02 |
| 1295878486 | Masoud Hekmatyar | Dentist | 1847 Monmouth St # A, Newport, KY 41071-2637 | 2007-02-15 |
| 1972668572 | Grady A Gibson | Dentist | 701 Overton St, Newport, KY 41071-2064 | 2006-12-26 |
| Find all providers in NEWPORT | ||||
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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.