RANDLE DENTAL CLINIC (NPI# 1801143110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801143110 |
| Entity Type | Organization |
| Organization Name | RANDLE DENTAL CLINIC |
| Practice Address |
214 Silverbrook Rd Randle WA 98377 |
| Mailing Address |
Po Box 248 Randle WA 98377-0248 |
| Practice Telephone | 3604975741 |
| Practice Fax Number | 3604975744 |
| Mailing Telephone | 3604975741 |
| Mailing Fax Number | 3604975744 |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2012-08-07 |
| Authorized Official Name | DR. RYAN LEMERT (DENTIST/OWNER) |
| Authorized Official Telephone | 5038664741 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
DE60298156 | WA | Ambulatory Health Care Facilities |
| Street Address |
214 SILVERBROOK RD |
| City | RANDLE |
| State | WA |
| Zip Code | 98377 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689604563 | Lewis County Hospital District No. 1 | Clinic/Center | 108 Kindle Road, Randle, WA 98377 | 2006-07-04 |
| 1669861308 | Pamala Hedglin | Counselor | 108 Kindle Road, Randle, WA 98377 | 2015-01-19 |
| 1710278775 | Quoc Ho | Internal Medicine | 108 Kindle Rd, Randle, WA 98377 | 2011-04-26 |
| 1205942117 | Esther Lee Williams | Nurse Practitioner | 108 Kindle Road, Randle, WA 98377 | 2006-08-22 |
| 1427083815 | Lewis County Hospital District No. 1 | Family Medicine | 108 Kindle Road, Randle, WA 98377 | 2006-07-12 |
| 1508853193 | Lewis County Fire Protection District 14 | Ambulance | 9978 Us Hwy 12, Randle, WA 98377-0127 | 2005-09-29 |
| 1902900020 | Daryl Gene Conklin | Physician Assistant | 108 Kindle Rd, Randle, WA 98377-1411 | 2006-09-11 |
| 1093968406 | Zora Degrandpre | Naturopath | 10886 Us Hwy 12, Randle, WA 98377-3331 | 2008-10-29 |
| 1114031994 | White Pass School District | Local Education Agency (LEA) | 516 Silverbrook Rd, Randle, WA 98377-9208 | 2006-08-18 |
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700671 | K.lee, Dds, Pllc. | Clinic/Center | 20709 Mountain Hwy E # 102, Spanaway, WA 98387-8580 | 2020-11-06 |
| 1346841376 | Ralf F. Schuler, Dr. Med. Dent., Msd,pllc | Clinic/Center | 205 W Fairhaven Ave Ste C, Burlington, WA 98233-1062 | 2020-11-05 |
| 1356942684 | Healthy Smiles Northwest | Clinic/Center | 11808 18th St Se, Lake Stevens, WA 98258-2046 | 2020-11-03 |
| 1306446240 | Christine A Woodward, Dds, Pllc | Clinic/Center | 45860 Main St, Concrete, WA 98237 | 2020-10-29 |
| 1215535695 | Ellingsen Henneberg Pllc | Clinic/Center | 2607 S Southeast Blvd Ste B210, Spokane, WA 99223-7614 | 2020-10-16 |
| 1174121792 | Evolve Dental LLC | Clinic/Center | 4410 194th St Sw Ste A, Lynnwood, WA 98036-5598 | 2020-10-15 |
| 1326646035 | Natasha Habib Dds Ps | Clinic/Center | 1025 153rd St Se Ste 103, Mill Creek, WA 98012-4051 | 2020-10-14 |
| 1386241636 | Mellissa Ilgen, Dds, Pllc | Clinic/Center | 26114 Illinois Ave Ne, Kingston, WA 98346-7674 | 2020-10-08 |
| 1417554932 | Young, Yeung, Lee, Hockin, P.s | Clinic/Center | 2207 2nd Ave, Seattle, WA 98121-2016 | 2020-10-07 |
| 1164039731 | Consolidated Dental Three | Clinic/Center | 19221 108th Ave Se Ste 2, Renton, WA 98055-7369 | 2020-09-28 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on RANDLE DENTAL CLINIC.
| 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.