ROWLEY AND RUDER, PLLC (NPI# 1598979866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598979866 |
Entity Type | Organization |
Organization Name | ROWLEY AND RUDER, PLLC |
Other Organization Name | SMALL TO TALL PEDIATRIC DENTISTRY |
Practice Address |
222 Lilly Rd Ne Olympia WA 98506-6103 |
Mailing Address |
222 Lilly Rd Ne Olympia WA 98506-5031 |
Practice Telephone | 3604595885 |
Mailing Telephone | 3604595885 |
Enumeration Date | 2007-05-09 |
Last Update Date | 2014-01-21 |
Authorized Official Name | DEBORAH J GOWAN (OFFICE BUSINESS MANAGER) |
Authorized Official Telephone | 3604595885 |
Authorized Official Credential | FAADOM |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
WA | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 122300000X | 05 |
Other Name | Type Code |
---|---|
Small To Tall Pediatric Dentistry | Doing Business As Name - Organization |
Street Address |
222 LILLY RD NE |
City | OLYMPIA |
State | WA |
Zip Code | 98506-6103 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972682565 | Gregory L Psaltis | Dentist | 222 Lilly Rd Ne, Olympia, WA 98506 | 2006-11-03 |
1235303439 | Benjamin Danelski Ruder | Dentist | 222 Lilly Rd Ne, Olympia, WA 98506-5031 | 2008-04-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477185460 | Chloe Harper | Technician, Other | 3443 Lilly Rd Se, Ste B, Olympia, WA 98506 | 2020-02-07 |
1912543539 | Jessica Marie Radakovich | Licensed Practical Nurse | 3426 Mary Elder Rd, Olympia, WA 98506 | 2019-11-19 |
1669014973 | Arlene Josephine Adams | Registered Nurse | 413 Lily Rd Ne, Olympia, WA 98506 | 2019-10-09 |
1861999120 | Debra Delores Barker | Licensed Practical Nurse | 3710 South Bay Rd Ne, Olympia, WA 98506 | 2018-04-12 |
1801304431 | Michelle Warner | Nurse Practitioner | 205 Lilly Rd Ne Ste A1, Olympia, WA 98506 | 2018-01-17 |
1396258364 | Institute for Family Development | Community/Behavioral Health | 204 Quince St. Ne, Suite 200, Olympia, WA 98506 | 2017-11-13 |
1083137715 | Cameron Kunkel | Specialist/Technologist | 2512 20th Ave Ne, Olympia, WA 98506 | 2017-07-25 |
1184144768 | Trevor Shane Kwan | Family Medicine | 525 Lilly Road Ne, Olympia, WA 98506 | 2017-06-23 |
1073043212 | Michael H Harburg | Behavior Technician | 3857 Martin Way Ne, Olympia, WA 98506 | 2017-06-19 |
1780114371 | Priscilla Kangyang Jadu | Counselor | 3857 Martin Way E., Olympia, WA 98506 | 2017-06-15 |
Find all providers in zip 98506 |
Taxonomy Code | 1223P0221X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Pediatric Dentistry |
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487965612 | Scott T Rowley, Dmd Ps | Dentist | 2735 Schirm Loop Rd Nw, Olympia, WA 98502-9303 | 2010-06-22 |
1972682565 | Gregory L Psaltis | Dentist | 222 Lilly Rd Ne, Olympia, WA 98506 | 2006-11-03 |
1962581868 | Rosaleen J. Shavron | Dentist | 2612a Yelm Hwy Se, Olympia, WA 98501-4826 | 2006-11-03 |
1457354144 | Danny Eugene Davidson | Dentist | 108 22nd Ave Sw, Ste 16, Olympia, WA 98501-2871 | 2005-05-27 |
1053654525 | Andrea M. Vancleave, Dds, Pllc | Dentist | 2612 Yelm Hwy Se, Suite A, Olympia, WA 98501-4826 | 2013-04-02 |
1851655575 | Andrea Marie Vancleave | Dentist | 2612 Yelm Hwy Se, Suite A, Olympia, WA 98501-4826 | 2012-06-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740807890 | Plateau Kids Dentistry, LLC | Dentist | 2912 228th Ave Se Ste A, Sammamish, WA 98075-9305 | 2020-07-05 |
1528603503 | Ellen Polsky Dds and Bobby Virk Dmd, Ps | Dentist | 34704 11th Pl S Ste 101, Federal Way, WA 98003-8730 | 2019-11-13 |
1942843552 | Laura Stewart Dds Pllc | Dentist | 6821 Ne 181st St, Kenmore, WA 98028-5034 | 2019-10-26 |
1639736119 | Southcenter Children's Dentistry | Dentist | 411 Strander Blvd Ste 303, Tukwila, WA 98188-2924 | 2019-05-21 |
1770147001 | Kaitlin Neste Pllc | Dentist | 360 Tormey Ln Ne Ste 198, Bainbridge Island, WA 98110-1990 | 2019-04-22 |
1124511126 | Roger Lucas, P.s. | Dentist | 3806 116th St. Ne, Marysville, WA 98271 | 2018-06-13 |
1497248017 | Jinju Song Dmd Pllc | Dentist | 9707 Ne 119th Way, Kirkland, WA 98034-8955 | 2018-06-08 |
1861999864 | Peter Douglas | Dentist | 32105 1st Ave S Ste B3, Federal Way, WA 98003-5719 | 2018-04-07 |
1669994042 | Annikka Louise Frostad-thomas | Dentist | 700 Nw Gilman Blvd # E412, Issaquah, WA 98027-5395 | 2017-07-07 |
1831624402 | Minh Dau, Dds and Raymond Park, Dds Pllc | Dentist | 3105 Alderwood Mall Blvd, Suite 117, Lynnwood, WA 98036-4703 | 2017-04-20 |
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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.