THE PROFESSIONAL DENTURE CENTER (NPI# 1962916379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962916379 |
| Entity Type | Organization |
| Organization Name | THE PROFESSIONAL DENTURE CENTER |
| Other Organization Name | PROFESSIONAL DENTURE CLINIC |
| Practice Address |
533 South Mission St Wenatchee WA 98801 |
| Practice Telephone | 5096647308 |
| Practice Fax Number | 5096644068 |
| Mailing Telephone | 5096647308 |
| Mailing Fax Number | 5096644068 |
| Enumeration Date | 2017-11-21 |
| Last Update Date | 2017-12-07 |
| Authorized Official Name | DR. JONATHAN MUNGER DICKSON (DOCTOR/OWNER) |
| Authorized Official Telephone | 2532308084 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122400000X | Denturist | 60772847 | WA | Dental Providers |
| Y | 122300000X | Dentist | 60292621 | WA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2059589 | 05 |
| Other Name | Type Code |
|---|---|
| Professional Denture Clinic | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780139931 | The Professional Denture Center | Dental Laboratory | 533 S Mission St, Wenatchee, WA 98801-3047 | 2016-08-17 |
| Street Address |
533 SOUTH MISSION ST |
| City | WENATCHEE |
| State | WA |
| Zip Code | 98801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033728365 | Jeannie Jones | Massage Therapist | 15 2nd St, Hallway 15, Wenatchee, WA 98801 | 2020-07-22 |
| 1184246688 | Mireya Ann Bahena | Case Manager/Care Coordinator | Catholic Charities of The Diocese of 145 S. Worthen St., Wenatchee, WA 98801 | 2020-05-07 |
| 1871067843 | Bfg Wenatchee Propco Iv, LLC | Assisted Living Facility | 817 Red Apple Rd, Wenatchee, WA 98801 | 2019-01-14 |
| 1982177283 | Michael Lee Miller | Behavioral Analyst | 264 N. Mission, Wenatchee, WA 98801 | 2019-01-09 |
| 1972073526 | Daniel Jentges | Family Medicine | 413 N Mission St., Wenatchee, WA 98801 | 2018-11-27 |
| 1972010437 | Daniel Nickel | Occupational Therapy Assistant | 217 Wetherald St, Wenatchee, WA 98801 | 2018-01-05 |
| 1467978155 | Matthew Jerauld Laws | Massage Therapist | 416 Ninth Street, Wenatchee, WA 98801 | 2017-08-15 |
| 1073051363 | Kimberley Rae Chambers | Massage Therapist | 25 N Wenatchee Ave Suite 104, Wenatchee, WA 98801 | 2017-02-07 |
| 1841746187 | Valentina Alvarez | Counselor | 145 S Worthern, Wenatchee, WA 98801 | 2016-08-28 |
| 1114470432 | Gundersen Dental, Pllc | Clinic/Center | 251 N. Chelan Ave, Wenatchee, WA 98801 | 2016-08-03 |
| Find all providers in zip 98801 | ||||
| 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 |
|---|---|---|---|---|
| 1033458377 | David Walker Parks | Dentist | 600 Orondo Ave Ste 2, Wenatchee, WA 98801-2800 | 2013-02-06 |
| 1003960238 | Bernie Kopfer | Dentist | 533 S Mission St, Wenatchee, WA 98801-3047 | 2007-01-23 |
| 1073689147 | John O Ruud | Dentist | 245 N Chelan Ave, Wenatchee, WA 98801-2104 | 2006-11-28 |
| 1932217726 | Marc Lee Ball | Dentist | 620 N Emerson St, Ste 103, Wenatchee, WA 98801-6619 | 2006-08-29 |
| 1649284167 | James Edward Mills | Dentist | 610 N Mission, Ste B-4, Wenatchee, WA 98801-6611 | 2006-07-28 |
| 1235769589 | Sleep Better Wenatchee LLC | Dentist | 533 S Mission St, Wenatchee, WA 98801-3047 | 2020-01-24 |
| 1619434552 | Sagebrush Dental LLC | Dentist | 1114 N Mission St Ste A, Wenatchee, WA 98801-6711 | 2019-02-27 |
| 1154876282 | David Parry Summers | Dentist | 222 N Chelan Ave, Wenatchee, WA 98801-2105 | 2016-08-18 |
| 1205289352 | Marc L. Ball Dds, Ps | Dentist | 620 N Emerson Ave, Suite 103, Wenatchee, WA 98801-6619 | 2016-07-13 |
| 1871947424 | Vanbibber Wenatchee PC | Dentist | 650 N Miller St, Wenatchee, WA 98801-2044 | 2016-04-20 |
| Find all providers in WENATCHEE | ||||
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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.