DEER PARK DENTAL PLLC


Address: 118 E. Crawford St., Deer Park, WA 99006
Phone: 5098508061

DEER PARK DENTAL PLLC (NPI# 1417572892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417572892
Entity Type Organization
Organization Name DEER PARK DENTAL PLLC
Practice Address 118 E. Crawford St.
Deer Park
WA 99006
Mailing Address Po Box 18184
Spokane
WA 99228-0184
Practice Telephone 5098508061
Mailing Telephone 5098508061
Enumeration Date 2020-06-11
Last Update Date 2020-10-21
Authorized Official Name DR. SANDY FLETCHER MONTANO (OWNER)
Authorized Official Telephone 7869557284
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA 2085276 05

Office Location

Street Address 118 E. CRAWFORD ST.
City DEER PARK
State WA
Zip Code 99006

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124653464 James Phelan Optometrist 14 N. Vernon Ave., Deer Park, WA 99006 2020-03-06
1336628841 Shayla Michelle Simonson Massage Therapist West 114 South Avenue, Apt 4, Deer Park, WA 99006 2018-08-07
1710221494 Lori Tetsuro Mcdonald Hearing Instrument Specialist 23 E Crawford St, Suite D, Deer Park, WA 99006 2012-11-19
1952675076 Debra Kay Keller Pharmacist 412 S Main, Deer Park, WA 99006 2012-03-07
1457661027 Martha Joan Haney Massage Therapist W 110 Crawford, Suite J, Deer Park, WA 99006 2010-10-18
1487818324 Bi-mart Corporation Durable Medical Equipment & Medical Supplies 412 S. Main Avenue, Deer Park, WA 99006 2008-07-10
1912104498 Melissa Ann Mccollough Massage Therapist 20 East J Street Suite B, Deer Park, WA 99006 2007-06-28
1336368182 Community Health Association of Spokane Clinic/Center 401 S Main Street, Deer Park, WA 99006 2007-04-24
1215153739 Bates and Miller, Pllc, Dds Clinic/Center 20 E J Street, Suite 2b, Deer Park, WA 99006 2007-04-17
1184741936 Ronald J Moore Chiropractor 206 W First Street, Suite G, Deer Park, WA 99006 2007-03-26
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710505599 Uttara Suresh Dentist 3702 Center St, Deer Park, TX 77536-6104 2020-07-08
1326600156 Jojo Ortishejolomi Omaghomi Dentist 3811 Center St, Deer Park, TX 77536-6596 2019-07-02
1801301833 Hills Park Dental Dentist 2053 Deer Park Ave, Deer Park, NY 11729-2110 2017-12-13
1639436215 Pamela Liu Dentist 3601 Center St Ste 106, Deer Park, TX 77536-6101 2012-04-19
1881963510 Melanie Fox Dentist 2050 Deer Park Ave, Deer Park, NY 11729-2128 2011-12-27
1447490917 Amy Beth Tannenbaum Dentist 1644 Deer Park Ave., Park Hills Dental Center, Deer Park, NY 11729 2009-02-24
1730328873 Young Hoon Chung Dmd PC Dentist 205 Baldwin Path, Deer Park, NY 11729-1407 2009-02-12
1831361054 Pm Dental Services PC Dentist 207 Bayshore Rd, Deer Park, NY 11729-6930 2008-03-27
1043407513 Tregre & Associates Dds Dentist 4518 Center Street, Deer Park, TX 77536-6351 2007-09-28
1225154933 Bruce N Privatsky Dentist 21660 W Field Parkway, Suite 180, Deer Park, IL 60010 2007-03-22
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City DEER PARK
Zip Code 99006

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Dataset Information

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.

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