DENTAL PROFESSIONALS OF WASHINGTON QUIRT MONGRAIN GIBREE PC (NPI# 1447877857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447877857 |
| Entity Type | Organization |
| Organization Name | DENTAL PROFESSIONALS OF WASHINGTON QUIRT MONGRAIN GIBREE PC |
| Practice Address |
6939 Littlerock Rd Sw Ste B Tumwater WA 98512-7246 |
| Practice Telephone | 3603520401 |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2020-07-01 |
| Authorized Official Name | TABATHA LEMKE (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 2175406078 |
| Is Organization Subpart | Y |
| Parent Organization Name | HEARTLAND DENTAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Tumwater Family Dentistry | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821606724 | Dental Professionals of Washington Quirt Mongrain Gibree PC | Dentist | 9514 4th St Ne Unit 102, Lake Stevens, WA 98258-1937 | 2020-07-16 |
| 1932682374 | Dental Professionals of Washington Quirt Mongrain Gibree PC | Dentist | 2807 S Stone St Ste 102, Spokane, WA 99223-4904 | 2018-09-12 |
| 1821582735 | Dental Professionals of Washington Quirt Mongrain Gibree PC | Dentist | 1520 W Garland Ave Ste A, Spokane, WA 99205-2613 | 2018-06-15 |
| 1174737274 | Dental Professionals of Washington Quirt Mongrain Gibree PC | Dentist | 9302 N. Colton Street, Ste 202, Spokane, WA 99218 | 2007-05-09 |
| 1316564925 | Dental Professionals of Washington Quirt Mongrain Gibree PC | Dentist | 68 Sw 13th St, Chehalis, WA 98532-3627 | 2020-06-30 |
| 1033757125 | Dental Professionals of Washington Quirt Mongrain Gibree PC | Dentist | 505 Cedar Ave Ste C1, Marysville, WA 98270-4561 | 2019-12-19 |
| 1760033807 | Dental Professionals of Washington Quirt Mongrain Gibree PC | Dentist | 23805 Highway 99 Ste 100, Edmonds, WA 98026-9204 | 2019-09-20 |
| 1538631783 | Dental Professionals of Washington Quirt Mongrain Gibree PC | Dentist | 3926 Cleveland Ave Se, Tumwater, WA 98501-4023 | 2018-12-28 |
| Street Address |
6939 LITTLEROCK RD SW STE B |
| City | TUMWATER |
| State | WA |
| Zip Code | 98512-7246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295233344 | Richard C Downing Dds Pllc | Dentist | 6939 Littlerock Rd Sw Ste B, Tumwater, WA 98512-7246 | 2018-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578161402 | Yavonnie Leslie Griggs | Peer Specialist | 3285 Ferguson Ln Sw, Tumwater, Wa 98512, Tumwater, WA 98512 | 2020-10-13 |
| 1205465622 | Falina Marie Luce | Counselor | 3285 Ferguson St, Olympia, WA 98512 | 2020-04-07 |
| 1881234912 | Andres Enrique Velazquez | Counselor | 3285 Ferguson St Sw Wa 98512, Tumwater, WA 98512 | 2020-01-07 |
| 1700432507 | Maria E Zavala Negrete | Behavior Technician | 3285 Ferguson Street Southwest, Tumwater, WA 98512 | 2019-08-16 |
| 1669026951 | Bradley Allen Labrador | Social Worker | 3285 Ferguson St, Sw, Tumwater, WA 98512 | 2019-07-25 |
| 1033762893 | Janice Lapreal Swanzey | Licensed Practical Nurse | 3285 Ferguson Lane St Sw, Olympia, WA 98512 | 2019-07-22 |
| 1821569195 | Linda Marie Moffitt | Registered Nurse | 7741 Littlerock Rd. Sw, Tumwater, WA 98512 | 2018-12-16 |
| 1427534577 | Matthew Hart | Occupational Therapist | 2620 Rw Johnson Boulevard Southwest Suite 112, Tumwater, WA 98512 | 2018-07-12 |
| 1558858019 | Amy Louise Cline | Counselor | 6005 Tyee Drive Sw, Tumwater, WA 98512 | 2018-04-19 |
| 1669998183 | Bradley Ross Bishop | Registered Nurse | 3285 Ferguson Street Sw, Tumwater, WA 98512 | 2017-08-16 |
| Find all providers in zip 98512 | ||||
| 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 |
|---|---|---|---|---|
| 1336797273 | Sea-mar Community Health Center | Dentist | 6004 Capitol Ave Sw, Tumwater, WA 98501 | 2019-09-03 |
| 1295233344 | Richard C Downing Dds Pllc | Dentist | 6939 Littlerock Rd Sw Ste B, Tumwater, WA 98512-7246 | 2018-01-24 |
| 1285826537 | Steven L. Paige | Dentist | 6015 Capitol Blvd, Tumwater, WA 98045 | 2007-08-10 |
| 1578780979 | Jerry Wayne Moody | Dentist | 501 Tyee Dr Sw, Tumwater, WA 98512-7313 | 2007-04-19 |
| 1083790588 | Yongqian Huang | Dentist | 409 Custer Way Se, Suite C, Tumwater, WA 98501-3350 | 2006-10-27 |
| 1255413845 | Arne Erik Gundersen | Dentist | 115 Cleveland Ave Se, Tumwater, WA 98501-7718 | 2006-10-20 |
| 1548273782 | Adam Philip Cramer | Dentist | 1502 Bishop Rd Sw, Tumwater, WA 98512-7354 | 2006-08-15 |
| 1851374862 | John Junji Shingu | Dentist | 3926 Cleveland Ave Se, Tumwater, WA 98501-4023 | 2005-11-22 |
| 1669025417 | Mccauslin Thomas Rainwater | Dentist | 1502 Bishop Rd Sw, Tumwater, WA 98512-7354 | 2019-07-22 |
| 1134642713 | Ajaipal Dhanoa | Dentist | 6015 Capitol Blvd Sw, Tumwater, WA 98501-5268 | 2017-07-25 |
| Find all providers in TUMWATER | ||||
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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.