SOUTH BEACH DENTAL CLINIC (NPI# 1437690955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437690955 |
| Entity Type | Organization |
| Organization Name | SOUTH BEACH DENTAL CLINIC |
| Practice Address |
509 S Montesano St Westport WA 98595 |
| Mailing Address |
Po Box 2049 Westport WA 98595-2049 |
| Practice Telephone | 3602686225 |
| Practice Fax Number | 3602686095 |
| Mailing Telephone | 3602686225 |
| Mailing Fax Number | 3602686095 |
| Enumeration Date | 2017-03-16 |
| Last Update Date | 2017-03-16 |
| Authorized Official Name | DUANE W PEGG (PRESIDENT) |
| Authorized Official Telephone | 3602686225 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DE008350 | WA | Dental Providers |
| Street Address |
509 S MONTESANO ST |
| City | WESTPORT |
| State | WA |
| Zip Code | 98595 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528537198 | Amber L Moore | Massage Therapist | 403 Montesano Ave., Westport, WA 98595 | 2018-11-13 |
| 1922555424 | Halcyon Counseling LLC | Counselor | 801 N. Montesano St., Westport, WA 98595 | 2016-09-01 |
| 1053771626 | Rebecca Dornbush | Physical Therapy Assistant | 801 Montesano St, 1st Floor #300, Westport, WA 98595 | 2016-02-25 |
| 1437582038 | Lana Diane Adams | Physical Therapy Assistant | 801 North Montesano Street, Suite 300, Westport, WA 98595 | 2013-08-19 |
| 1912346776 | Aquila Stoneking | Specialist | 2580 S Montesano St., Westport, WA 98595 | 2013-06-14 |
| 1619204922 | Jamie Lynn Lowe | Massage Therapist | 213 Tacoma Ave. W., Westport, WA 98595 | 2009-11-06 |
| 1306074810 | Donald Richard Nack Jr. | Massage Therapist | 820 North Rainier St., Westport, WA 98595 | 2009-06-24 |
| 1881821437 | Doris Elaine Reed | Acupuncturist | 100 N Montesano St, #5, Westport, WA 98595 | 2009-06-22 |
| 1861632713 | Dr Sean Spaulding Pllc | Chiropractor | 801 N Montesano St, Westport, WA 98595 | 2009-03-04 |
| 1497905152 | Chantel Louise Nelson | Specialist | 722 N Montesano Street, Westport, WA 98595 | 2008-09-30 |
| Find all providers in zip 98595 | ||||
| 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 |
|---|---|---|---|---|
| 1972622603 | Allan Grant Beal | Dentist | 1212 Stevenson Rd., Westport, NY 12993-0430 | 2007-03-27 |
| 1578680674 | Michael M. Katz, D.d.s.,p.c. | Dentist | 708 Sanford Rd, Westport, MA 02790-4038 | 2007-03-23 |
| 1699800722 | David Michael Sochacki | Dentist | 18 Imperial Avenue, Westport, CT 06880-4301 | 2007-02-22 |
| 1508912445 | Marilyn R. Geni | Dentist | 15 Imperial Ave, Westport, CT 06880-4302 | 2007-01-25 |
| 1811095185 | Fulton Li | Dentist | 375 Post Rd W, Westport, CT 06880-4741 | 2006-09-20 |
| 1871608927 | Douglas Gene Vrona | Dentist | 23 Reed Rd, Westport, MA 02790-1135 | 2006-08-20 |
| 1508875121 | Richard Allen Epstein | Dentist | 2 Red Coat Rd, Westport, CT 06880-1407 | 2006-08-05 |
| 1003838269 | Duane W. Pegg | Dentist | 509 So. Montesano Street, Westport, WA 98595-2672 | 2006-07-24 |
| 1952322620 | Andrea Ghenta-drimbarean | Dentist | 767 Main Rd, Westport, MA 02790 | 2006-07-21 |
| 1275580870 | Westport Dental Associates, P.C. | Dentist | 22 Imperial Ave, Westport, CT 06880-4301 | 2006-05-28 |
| Find all providers in WESTPORT | ||||
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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.