YODER, GRIESER & SULLIVAN, DDS, LLP (NPI# 1336346402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336346402 |
| Entity Type | Organization |
| Organization Name | YODER, GRIESER & SULLIVAN, DDS, LLP |
| Practice Address |
1880 Pottery Ave Ste 200 Port Orchard WA 98366-2518 |
| Practice Telephone | 3608954321 |
| Practice Fax Number | 3608954326 |
| Mailing Telephone | 3608954321 |
| Mailing Fax Number | 3608954326 |
| Enumeration Date | 2007-07-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. BRUCE L YODER (PARTNER) |
| Authorized Official Telephone | 3608954321 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 5975 | WA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 5025796 | 05 |
| Street Address |
1880 POTTERY AVE STE 200 |
| City | PORT ORCHARD |
| State | WA |
| Zip Code | 98366-2518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316017379 | Peter A. Grieser | Dentist | 1880 Pottery Ave Ste 200, Port Orchard, WA 98366-2518 | 2006-11-08 |
| 1245512003 | Kevin Lee Yoder | Dentist | 1880 Pottery Ave Ste 200, Port Orchard, WA 98366-2518 | 2011-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003423302 | Teresa M Derouin | Speech-Language Pathologist | Harbor Speech Pathology, 463 Tremont St W Suite 110, Port Orchard, WA 98366 | 2020-09-30 |
| 1316591217 | Martin Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 8079 E Main Street, Suite 101, Port Orchard, WA 98366 | 2019-07-29 |
| 1952822660 | Kristian Thomas Workman Haskins | Hearing Instrument Specialist | 1328 Colchester Drive S.e., Port Orchard, WA 98366 | 2017-07-03 |
| 1013466929 | Jenna Olafson | Counselor | 414 Front St. N, Issaquah, WA 98366 | 2016-10-04 |
| 1063884534 | Laurine Burrer | Licensed Practical Nurse | 2874 Se Lund Ave, Port Orchard, WA 98366 | 2015-10-23 |
| 1346640836 | Karen Diane Thompson | Pharmacy Technician | 1800 Sidney Ave, Apt 1-201, Port Orchard, WA 98366 | 2014-09-03 |
| 1588912042 | Celeste Kyle Interrante | Physical Therapy Assistant | 2051 Pottery Ave., Port Orchard, WA 98366 | 2012-08-15 |
| 1013227339 | Christine Davis | Massage Therapist | 1800 Se Mile Hill Drive, Suite 150, Port Orchard, WA 98366 | 2010-10-20 |
| 1932421724 | Mary Jo Stump | Physical Therapy Assistant | 2051 Pottery Avenue, Port Orchard, WA 98366 | 2010-02-19 |
| 1669707626 | Shannon Mary Baurichter | Speech-Language Pathologist | 1230 Bay St, Port Orchard, WA 98366 | 2009-10-08 |
| Find all providers in zip 98366 | ||||
| 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 |
|---|---|---|---|---|
| 1427281096 | Zachary Bergevin | Dentist | 2021 Se Sedgwick Rd, Suite #3, Port Orchard, WA 98366-9502 | 2009-08-31 |
| 1326202615 | Prashant P Makadia | Dentist | 417 Sw Sedgwick Rd, Suite 101, Port Orchard, WA 98367 | 2008-07-15 |
| 1376647743 | Costa & Dageenakis Family Dentistry Pllc | Dentist | 1565 Woodridge Dr Se, Ste A, Port Orchard, WA 98366 | 2006-09-07 |
| 1073524138 | J Eric Janaszak Dmd | Dentist | 10407 Se Olympiad Dr., Port Orchard, WA 98366 | 2006-08-11 |
| 1912915083 | Karlie Ann Gaskins | Dentist | 4586 Se Mile Hill Dr Ste A101, Port Orchard, WA 98366-3909 | 2006-08-04 |
| 1437171246 | Justin Lee Robison | Dentist | 1590 Woodridge Dr Se, Port Orchard, WA 98366-3818 | 2006-07-24 |
| 1255320487 | Whitney Brooke Berens | Dentist | 1953 Pottery Ave, Port Orchard, WA 98366-2558 | 2005-10-20 |
| 1588041701 | Peninsula Community Health Services | Dentist | 1950 Pottery Ave, Suite 170, Port Orchard, WA 98366-2592 | 2015-04-27 |
| 1154737823 | Steven C. Chobot, Dds, Ps | Dentist | 1590 Woodridge Dr Se, Port Orchard, WA 98366-3818 | 2014-07-02 |
| 1770999534 | Melany K. Bloomquist, Dds, Ps | Dentist | 1590 Woodridge Dr Se, Port Orchard, WA 98366-3818 | 2014-07-01 |
| Find all providers in PORT ORCHARD | ||||
| City | PORT ORCHARD |
| Zip Code | 98366 |
Please comment or provide details below to improve the information on YODER, GRIESER & SULLIVAN, DDS, LLP.
| 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.