DONALD C. BASSHAM D.D.S. P.S. (NPI# 1922258961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922258961 |
| Entity Type | Organization |
| Organization Name | DONALD C. BASSHAM D.D.S. P.S. |
| Practice Address |
614 E Alder St Suite # 6 Walla Walla WA 99362-2073 |
| Practice Telephone | 5095267012 |
| Practice Fax Number | 5095267013 |
| Mailing Telephone | 5095267012 |
| Mailing Fax Number | 5095267013 |
| Enumeration Date | 2008-09-26 |
| Last Update Date | 2009-01-15 |
| Authorized Official Name | DR. DONALD CHARLES BASSHAM (DIRECTOR) |
| Authorized Official Telephone | 5095267012 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DE00008030 | WA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 5057898 | 05 | |
| WA | 5027610 | 05 |
| Street Address |
614 E ALDER ST SUITE # 6 |
| City | WALLA WALLA |
| State | WA |
| Zip Code | 99362-2073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225035934 | Elizabeth Ann Kreger | Dental Hygienist | 614 E Alder St, Ste 4, Walla Walla, WA 99362-2073 | 2005-07-07 |
| 1629491766 | Stacey Kutsch, D.d.s., M.s., Pllc | Clinic/Center | 614 E Alder St, Suite 6, Walla Walla, WA 99362-2073 | 2014-01-25 |
| 1972940294 | Herbert C Edwards, Dds, Pllc | Dentist | 614 E Alder St, Suite #4, Walla Walla, WA 99362 | 2013-05-28 |
| 1679832638 | Ryan Ladell Wood | Dentist | 614 E Alder St, Suite 2, Walla Walla, WA 99362-2073 | 2012-05-11 |
| 1770860165 | Daniel James Wiessner | Optometrist | 614 E Alder St, Ste 1, Walla Walla, WA 99362-2073 | 2011-11-14 |
| 1245478460 | Herbert C Edwards | Dentist | 614 E Alder St, Suite #4, Walla Walla, WA 99362 | 2009-01-26 |
| 1386764553 | Donald Charles Bassham | Dentist | 614 E Alder St, Suite #6, Walla Walla, WA 99362-2073 | 2007-03-30 |
| 1740311018 | Gregory Fink | Dentist | 614 E Alder St, Suite 2, Walla Walla, WA 99362-2073 | 2007-03-08 |
| 1386637668 | Harry Walter Wiessner | Optometrist | 614 E Alder St, Suite #1, Walla Walla, WA 99362-2073 | 2005-08-23 |
| 1558354704 | Steven J. Davis | Optometrist | 614 E Alder St, Suite #1, Walla Walla, WA 99362-2073 | 2005-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164065959 | Kevin Gia-minh Phan | Optometrist | Walla Walla Vamc Bldg 86, Walla Walla, WA 99362 | 2019-10-24 |
| 1659836401 | Arlene Lavonne Whitney | Social Worker | 1361 Dalles Military Road, Walla Walla, WA 99362 | 2019-02-06 |
| 1053880674 | Julie Ann Cooke | Speech-Language Pathologist | Providence St. Mary Medical Center, 401 W. Poplar St., Walla Walla, WA 99362 | 2018-11-14 |
| 1558887133 | Chantey Walker | Massage Therapist | 1840 Pleasant St, Walla Walla, WA 99362 | 2017-08-16 |
| 1447798723 | Carrie S Diede | Speech-Language Pathologist | 410 West Poplar Street, Rehabilitation Services, Walla Walla, WA 99362 | 2017-02-07 |
| 1235584103 | Anchor Point Counseling Pllc | Clinic/Center | 2330 Eastgate St. Ste. 140, Walla Walla, WA 99362 | 2016-04-28 |
| 1548627011 | Washington State Walla Walla Veterans Home | Skilled Nursing Facility | 92 Wainwright Drive, Walla Walla, WA 99362 | 2016-01-28 |
| 1073926200 | Sherry Goff | Registered Nurse | 11120 W Rose St, Family Medical Center, Walla Walla, WA 99362 | 2014-06-05 |
| 1538597935 | Michael Wade Gillespie | Orthopaedic Surgery | 101 Brookside Drive, Walla Walla, WA 99362 | 2013-10-22 |
| 1023357985 | Sandra Kay Bushnell | Speech-Language Pathologist | 1105 Isaacs Ave, Walla Walla, WA 99362 | 2013-02-12 |
| Find all providers in zip 99362 | ||||
| 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 |
|---|---|---|---|---|
| 1578889739 | Basic Dental Care of Walla Walla | Dentist | 2014 S Howard St Ste D, Walla Walla, WA 99362-4532 | 2010-04-13 |
| 1619123817 | Eunduk Choi | Dentist | 614 E. Alder St., Suite #3, Walla Walla, WA 99362-2073 | 2008-08-07 |
| 1295947463 | Rietz Dental Management Corporation | Dentist | 208 South Park St, Walla Walla, WA 99362-3247 | 2007-05-03 |
| 1033230636 | Chad T. Ordelheide | Dentist | 1602 Penny Ln, Walla Walla, WA 99362 | 2007-04-02 |
| 1265501233 | Douglas W Rietz | Dentist | 208 S Park St, Walla Walla, WA 99362-3247 | 2006-11-06 |
| 1356422117 | Douglas L Coe | Dentist | 1341 Lowell Dr, Walla Walla, WA 99362-8820 | 2006-10-18 |
| 1619058393 | Ronald J. Will, D.d.s., Pllc | Dentist | 1545 Business One Cir, Walla Walla, WA 99362-9526 | 2006-10-18 |
| 1457431025 | Eric Ross Gustavsen | Dentist | 1129 South 2nd Ave, Suite A, Walla Walla, WA 99362 | 2006-10-17 |
| 1134219785 | Michael Philip Holman | Dentist | 850 Juniper St, Walla Walla, WA 99362-3437 | 2006-10-13 |
| 1225051907 | Danis Lyle Laizure | Dentist | 2014 S Howard St, Walla Walla, WA 99362-4532 | 2006-07-25 |
| Find all providers in WALLA WALLA | ||||
| City | WALLA WALLA |
| Zip Code | 99362 |
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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.