SOUTHWEST GD DENTAL CORP, PC (NPI# 1891900452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891900452 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST GD DENTAL CORP, PC |
| Other Organization Name | DBA GENTLE DENTAL |
| Practice Address |
1101 Se Tech Center Drive, Suite 195 Vancouver WA 98683 |
| Practice Telephone | 3604495670 |
| Practice Fax Number | 3604495693 |
| Mailing Telephone | 3604495700 |
| Mailing Fax Number | 3604495715 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2014-06-27 |
| Authorized Official Name | DR. KAREN FELDMAN (PRESIDENT) |
| Authorized Official Telephone | 3604495700 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Other Name | Type Code |
|---|---|
| dba Gentle Dental | Doing Business As Name - Organization |
| Street Address |
1101 SE TECH CENTER DRIVE, SUITE 195 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98683 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598970162 | Capitol Dental Group, PC | Dentist | 1101 Se Tech Center Drive, Suite 195, Vancouver, WA 98683 | 2007-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235761222 | Nathaniel James Eugene Powell | Behavior Technician | 4101se 192nd Ave, Ste 101, Vancouver, WA 98683 | 2020-02-07 |
| 1295294973 | Ubmhc1, LLC | Clinical Medical Laboratory | 18110 Southeast 34th St, Building 2, Suite 240, Vancouver, WA 98683 | 2019-03-13 |
| 1982116695 | Amy K Adams | Massage Therapist | 2716 Se 169th Ave, X-232, Vancouver, WA 98683 | 2017-11-03 |
| 1477088920 | Alexandra Ransonet | Dental Hygienist | 19111 Se 34th. St., Vancouver, WA 98683 | 2017-04-21 |
| 1639618630 | Digestive Gi Care | Internal Medicine | 305 Sw Chkalov Dr, 111-140, Vancouver, WA 98683 | 2017-02-23 |
| 1447706742 | Jennifer Horst | Massage Therapist | 3401 Se 192nd. Ave. Suite 107, Vancouver, WA 98683 | 2016-08-28 |
| 1154702728 | Kacie Marie Hamreus | Physician Assistant | 3101 Se 192nd Avenue, Vancouver, WA 98683 | 2015-06-09 |
| 1851782338 | Kathryn Wiedeman | Physical Therapy Assistant | 801 Se Park Crestt Ave, Vancouver, WA 98683 | 2015-02-05 |
| 1407255326 | Jesse Ryan Moses | Dentist | 16600 Se 15th Street, Suite A, Vancouver, WA 98683 | 2014-08-15 |
| 1366869893 | Stephen J Wold II | Podiatrist | 16701 Ne Mcgillivray Blvd, Ste 220, Vancouver, WA 98683 | 2014-03-21 |
| Find all providers in zip 98683 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639787088 | Andrey Vorobets | Dentist | 12403 Ne 20th St, Vancouver, WA 98684-5566 | 2020-07-21 |
| 1689207318 | Beatriz Ellen Fortanely | Dentist | Ubc Faculty of Dentistry, 2151 Wesbrook Mall, Vancouver, BC V6T 1Z3 | 2020-02-21 |
| 1891258711 | Washington Dental Corporation, PC | Dentist | 14411 Ne Fourth Plain, Suite 134, Vancouver, WA 98682 | 2019-04-08 |
| 1356819403 | Kesang Yangchen Norbhu | Dentist | 7202 Ne Highway 99 Ste 100, Vancouver, WA 98665-8932 | 2018-11-07 |
| 1326514803 | Haseeb Hussain | Dentist | 8400 Ne Vancouver Mall Loop Ste 105, Vancouver, WA 98662-6672 | 2018-10-22 |
| 1023584877 | Always Smiles Dentistry | Dentist | 910 Ne Minnehaha St #12, Vancouver, WA 98665 | 2018-10-19 |
| 1730664772 | Thomas Shogo Backus | Dentist | 503 Nw 84th Cir, Vancouver, WA 98665-7720 | 2018-09-25 |
| 1801382387 | Kristopher K Kostenko | Dentist | 14201 Ne 20th Ave Ste A101, Vancouver, WA 98686 | 2018-07-08 |
| 1831699198 | Isabel Ane Sobrado | Dentist | 12425 Ne 20th St, Vancouver, WA 98684-5566 | 2018-02-13 |
| 1689197808 | Shawn P Platt | Dentist | 1300 Esther St Ste 101, Vancouver, WA 98660-2890 | 2017-07-19 |
| Find all providers in VANCOUVER | ||||
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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.