DR. BRUCE LEE YODER (NPI# 1821076662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821076662 |
| Entity Type | Individual |
| Full Name | DR. BRUCE LEE YODER |
| Credential | DDS |
| Practice Address |
1880 Pottery Ave Port Orchard WA 98366-2518 |
| Mailing Address |
9033 Genesis Ln Se Port Orchard WA 98367-9742 |
| Practice Telephone | 3608954321 |
| Practice Fax Number | 3608954326 |
| Mailing Telephone | 3608954181 |
| Mailing Fax Number | 3608954326 |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
5975 | WA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 5025796 | 05 | |
| WA | WASHINGTON DENTAL SERVICE | 5975 | 01 |
| Street Address |
1880 POTTERY AVE |
| City | PORT ORCHARD |
| State | WA |
| Zip Code | 98366-2518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275547101 | Tracy C Sullivan | Dentist | 1880 Pottery Ave, Suite 200, Port Orchard, WA 98366-2518 | 2006-07-28 |
| 1154357150 | Frontier Therapy LLC | Physical Therapist | 1880 Pottery Ave, Ste 100, Port Orchard, WA 98366-2518 | 2006-06-23 |
| 1093767832 | Rhonda E. Law | Physical Therapist | 1880 Pottery Ave, Suite 100, Port Orchard, WA 98366 | 2006-05-17 |
| 1811949654 | John Robert Carlson | Physical Therapist | 1880 Pottery Ave, Suite 100, Port Orchard, WA 98366 | 2006-05-17 |
| 1811945900 | Kitsap Physical Therapy LLC | Physical Therapist | 1880 Pottery Ave, Suite 100, Port Orchard, WA 98366-2518 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003423302 | Teresa M Derouin | Speech-Language Pathologist | Harbor Speech Pathology, 463 Tremont St W Suite 110, Port Orchard, WA 98366 | 2020-09-30 |
| 1316591217 | Martin Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 8079 E Main Street, Suite 101, Port Orchard, WA 98366 | 2019-07-29 |
| 1952822660 | Kristian Thomas Workman Haskins | Hearing Instrument Specialist | 1328 Colchester Drive S.e., Port Orchard, WA 98366 | 2017-07-03 |
| 1013466929 | Jenna Olafson | Counselor | 414 Front St. N, Issaquah, WA 98366 | 2016-10-04 |
| 1063884534 | Laurine Burrer | Licensed Practical Nurse | 2874 Se Lund Ave, Port Orchard, WA 98366 | 2015-10-23 |
| 1346640836 | Karen Diane Thompson | Pharmacy Technician | 1800 Sidney Ave, Apt 1-201, Port Orchard, WA 98366 | 2014-09-03 |
| 1588912042 | Celeste Kyle Interrante | Physical Therapy Assistant | 2051 Pottery Ave., Port Orchard, WA 98366 | 2012-08-15 |
| 1013227339 | Christine Davis | Massage Therapist | 1800 Se Mile Hill Drive, Suite 150, Port Orchard, WA 98366 | 2010-10-20 |
| 1932421724 | Mary Jo Stump | Physical Therapy Assistant | 2051 Pottery Avenue, Port Orchard, WA 98366 | 2010-02-19 |
| 1669707626 | Shannon Mary Baurichter | Speech-Language Pathologist | 1230 Bay St, Port Orchard, WA 98366 | 2009-10-08 |
| Find all providers in zip 98366 | ||||
| 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 |
|---|---|---|---|---|
| 1487805305 | Family Dentistry, Joseph L. Ostheller Dds | Dentist | 3280 Se Lund, #8, Port Orchard, WA 98366 | 2008-10-09 |
| 1225245244 | Michelle L. D. Caldier | Dentist | 4312 Harris Rd Se, Port Orchard, WA 98366-5923 | 2007-05-17 |
| 1720109820 | Chris Mueller | Dentist | 1420 Bay St, Port Orchard, WA 98366-5102 | 2007-04-03 |
| 1316017379 | Peter A. Grieser | Dentist | 1880 Pottery Ave Ste 200, Port Orchard, WA 98366-2518 | 2006-11-08 |
| 1700960747 | Barbara E Karbassi | Dentist | 4601 Bethel Rd Se, Port Orchard, WA 98366-1253 | 2006-10-25 |
| 1205940004 | Gary Marvin Christman | Dentist | 700 Prospect St, Port Orchard, WA 98366-5399 | 2006-08-18 |
| 1790898211 | Joseph L Ostheller | Dentist | 3280 Se Lund Ave, 8, Port Orchard, WA 98366 | 2006-08-17 |
| 1447273032 | Richard D Freiboth | Dentist | 1600 Woodridge Dr Se, Port Orchard, WA 98366-3818 | 2006-07-25 |
| 1013991967 | Drewett George Malidore | Dentist | 6500 Se Mile Hill Dr, Port Orchard, WA 98366-8724 | 2005-12-05 |
| 1144570003 | Bock and Hutchinson, Pllc | Dentist | 1953 Pottery Ave, Port Orchard, WA 98366-2558 | 2012-09-18 |
| Find all providers in PORT ORCHARD | ||||
| City | PORT ORCHARD |
| Zip Code | 98366 |
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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.