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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2085276 | 05 |
| Street Address |
118 E. CRAWFORD ST. |
| City | DEER PARK |
| State | WA |
| Zip Code | 99006 |
| 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 |
| Find all providers in zip 99006 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| Find all providers in DEER PARK | ||||
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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.