MT SI DENTAL CENTER (NPI# 1932279304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932279304 |
| Entity Type | Organization |
| Organization Name | MT SI DENTAL CENTER |
| Practice Address |
208 Main Ave S North Bend WA 98045-8258 |
| Mailing Address |
Po Box 1099 North Bend WA 98045-1099 |
| Practice Telephone | 4258886522 |
| Mailing Telephone | 4258886522 |
| Mailing Fax Number | 4258886526 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2008-06-19 |
| Authorized Official Name | DR. KRIS W BRAIN (DENTIST) |
| Authorized Official Telephone | 4258886522 |
| 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 |
7403 | WA | Dental Providers |
| Street Address |
208 MAIN AVE S |
| City | NORTH BEND |
| State | WA |
| Zip Code | 98045-8258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295808442 | Kris W Brain | Dentist | 208 Main Ave S, North Bend, WA 98045 | 2006-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730426388 | Corrinna Walter | Student in an Organized Health Care Education/Training Program | 1345 Stilson Avenue Se, North Bend, WA 98045 | 2013-01-15 |
| 1265776066 | Barry Crossan | Pharmacist | 360 E North Bend Way, North Bend, WA 98045 | 2012-11-16 |
| 1013200807 | Therapeutic Health LLC | Massage Therapist | 230 W 3rd Street, North Bend, WA 98045 | 2011-05-26 |
| 1922399500 | Nicole Renee Femling | Massage Therapist | 111 W North Bend Way, North Bend, WA 98045 | 2011-04-29 |
| 1922309186 | John Hammond Gower IIi | Mechanotherapist | 12622 412th Se Ave, North Bend, WA 98045 | 2010-11-04 |
| 1508194879 | Leanne Bruner | Contractor | 410 E. North Bend Way, North Bend, WA 98045 | 2009-11-25 |
| 1649456344 | Frankie Eugene Orr | Massage Therapist | 113 Bendigo Blvd. N, Unit-c, North Bend, WA 98045 | 2008-01-14 |
| 1285826537 | Steven L. Paige | Dentist | 6015 Capitol Blvd, Tumwater, WA 98045 | 2007-08-10 |
| 1689865339 | The Snoqualmie Tribe | Clinic/Center | 404 Main Avenue South, North Bend, WA 98045 | 2007-08-07 |
| 1760695142 | Nancy J Coltom | Massage Therapist | 249 Main Ave, Suite B, North Bend, WA 98045 | 2007-05-08 |
| Find all providers in zip 98045 | ||||
| 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 |
|---|---|---|---|---|
| 1265658983 | Rodger A. Galloway | Dentist | 227 W 2nd St, North Bend, WA 98045-8124 | 2007-04-18 |
| 1174678254 | James Lee Browning | Dentist | 341 Bendigo Blvd N, North Bend, WA 98045-0488 | 2007-01-25 |
| 1992856603 | Eric J Opsvig | Dentist | 482 East North Bend Way, North Bend, WA 98045 | 2007-01-16 |
| 1194806661 | Roger M French | Dentist | 1885 Waite St, North Bend, OR 97459-1210 | 2006-10-18 |
| 1245321678 | Kerry Earl Bailey | Dentist | 505 Nw Eighth St, North Bend, WA 98045 | 2006-09-28 |
| 1922028935 | Kelly Rae Garwood | Dentist | 142 Main Ave N, North Bend, WA 98045 | 2006-07-20 |
| 1710967336 | Jessica Buenjemia | Dentist | 2157 Broadway St, North Bend, OR 97459-2329 | 2006-01-19 |
| 1659894970 | Jonathan Raymond Morgan | Dentist | 2157 Broadway Ave, North Bend, OR 97459-2329 | 2017-07-18 |
| 1710262126 | Darin G O'bryan Dds LLC | Dentist | 1885 Waite St, North Bend, OR 97459-1210 | 2011-10-17 |
| 1821398223 | Jesse R Gridley | Dentist | 1885 Waite St, North Bend, OR 97459-1210 | 2010-11-01 |
| Find all providers in NORTH BEND | ||||
| City | NORTH BEND |
| Zip Code | 98045 |
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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.