JEREMY H DIEHL, D.D.S., M.S.D., PC (NPI# 1346478906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346478906 |
| Entity Type | Organization |
| Organization Name | JEREMY H DIEHL, D.D.S., M.S.D., PC |
| Practice Address |
2702 Ne 78th St Suite 108 Vancouver WA 98665-0665 |
| Practice Telephone | 3606931200 |
| Practice Fax Number | 3606932001 |
| Mailing Telephone | 3606931200 |
| Mailing Fax Number | 3606932001 |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2014-05-28 |
| Authorized Official Name | DR. JEREMY H DIEHL (PRESIDENT) |
| Authorized Official Telephone | 3606931200 |
| Authorized Official Credential | D.D.S., M.S.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
DE60083669 | WA | Dental Providers |
| Street Address |
2702 NE 78TH ST SUITE 108 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98665-0665 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215380688 | Kristine Aadland, Dmd, Pllc | Dentist | 2702 Ne 78th St, Suite 104, Vancouver, WA 98665-0665 | 2016-07-20 |
| 1518306026 | Sheena Marie Orourke | Massage Therapist | 2702 Ne 78th St, Vancouver, WA 98665-0665 | 2013-06-18 |
| 1023248291 | Jeremy Howard Diehl | Dentist | 2702 Ne 78th St, Suite 108, Vancouver, WA 98665-0665 | 2009-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023584877 | Always Smiles Dentistry | Dentist | 910 Ne Minnehaha St #12, Vancouver, WA 98665 | 2018-10-19 |
| 1255811196 | Rachael Hickert | Counselor | 1179 Northeast 95th Street, Vancouver, WA 98665 | 2018-08-20 |
| 1063899011 | Edward Michael Borromeo | Massage Therapist | 8500 Ne Hazel Dell Ave Apt. B4, Vancouver, WA 98665 | 2015-04-29 |
| 1033460811 | Gretchen Ann Bell | Speech-Language Pathologist | 511 Ne Anderson Road, Vancouver, WA 98665 | 2012-09-20 |
| 1831322379 | Diana Miriam Copeland | Massage Therapist | 517 Ne 85th Cir, Vancouver, WA 98665 | 2009-09-01 |
| 1073782116 | Roxanne Marie Brown | Contractor | 7902 Ne St. Johns Rd. Ste 105a, Vancouver, WA 98665 | 2008-02-22 |
| 1588726657 | Emil V. Knysh | Contractor | 1307-b Ne 78th. Street, Suite #3, Vancouver, WA 98665 | 2006-12-15 |
| 1275611501 | Jerry L Reams | Contractor | 1307b Ne 78th St., Suite 3, Vancouver, WA 98665 | 2006-11-02 |
| 1053409961 | Richard C. Sheron Dmd Ps | Dentist | 1200 Ne 99th Street, Vancouver, WA 98665 | 2006-10-10 |
| 1316048887 | Frank Roberts Mossman | Optometrist | 7600 Hazeldell Ave, Vancouver, WA 98665 | 2006-09-26 |
| Find all providers in zip 98665 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538239728 | Munib Y. Derhalli | Dentist | 300 Se 120th Ave Ste 500, Vancouver, WA 98683-4020 | 2006-11-08 |
| 1154417491 | Steven David Hokett | Dentist | 14411 Ne 20th Ave Ste 111, Vancouver, WA 98686-6431 | 2006-10-05 |
| 1295844900 | Wendel Family Dental Centre Ps | Dentist | 7012 Ne 40th St, Vancouver, WA 98661-3052 | 2006-08-29 |
| 1578090932 | Ashwin Balakrishnan Nambisan | Dentist | 512 Ne 81st St Ste G, Vancouver, WA 98665-8134 | 2017-05-16 |
| 1356781496 | Colin Stuart Graser | Dentist | 14201 Ne 20th Ave Ste B200, Vancouver, WA 98686-6412 | 2013-07-03 |
| 1700164969 | Behnam Fakhravar | Dentist | 322 Se 192nd Ave Ste 100, Vancouver, WA 98683-9679 | 2011-07-21 |
| 1023248291 | Jeremy Howard Diehl | Dentist | 2702 Ne 78th St, Suite 108, Vancouver, WA 98665-0665 | 2009-07-21 |
| 1205041514 | Periodontal Concepts | Dentist | 300 Se 120th Ave Ste 500, Vancouver, WA 98683-4020 | 2007-05-11 |
| 1003936501 | Melissa Grant | Dentist | 7725 Ne Highway 99, Vancouver, WA 98665-8834 | 2007-03-29 |
| 1689713885 | Bob A Sonnes | Dentist | 406 Se 131st Ave, Ste 305c, Vancouver, WA 98683-4004 | 2007-02-05 |
| Find all providers in VANCOUVER | ||||
Please comment or provide details below to improve the information on JEREMY H DIEHL, D.D.S., M.S.D., PC.
| 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.