LANDON JAY RENCHER, D.D.S., P.L.L.C. (NPI# 1982069290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982069290 |
| Entity Type | Organization |
| Organization Name | LANDON JAY RENCHER, D.D.S., P.L.L.C. |
| Other Organization Name | RIVERSIDE DENTAL CLINIC |
| Practice Address |
34705 N Newport Hwy Ste B Chattaroy WA 99003-7811 |
| Practice Telephone | 5092922211 |
| Enumeration Date | 2015-12-31 |
| Last Update Date | 2015-12-31 |
| Authorized Official Name | DR. LANDON J RENCHER (DENTIST) |
| Authorized Official Telephone | 8018592569 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
WA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Riverside Dental Clinic | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | LANDON JAY RENCHER, D.D.S., P.L.L.C. | 34705 N Newport Hwy, Ste B, Chattaroy, WA 99003-7811 |
| Street Address |
34705 N NEWPORT HWY STE B |
| City | CHATTAROY |
| State | WA |
| Zip Code | 99003-7811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700200011 | Stonewall Residential Care, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 28921 N. River Estates, Chattaroy, WA 99003 | 2014-02-06 |
| 1578061180 | Amy Anne Surnock | Nurse Practitioner | 1450 San Pablo Street, Suite 5000, Los Angeles, CA 99003 | 2018-01-29 |
| 1902859895 | Jessica A. Blackwell | Nurse Practitioner | 3419 E Elena Ln, Chattaroy, WA 99003-5121 | 2006-05-19 |
| 1669087367 | Village Health Telehealth Pllc | Clinic/Center | 3419 E Elena Ln, Chattaroy, WA 99003-5121 | 2020-09-10 |
| 1164772018 | Kristi Alana Conley | Community Health Worker | 13011 E Deer Creek Rd, Chattaroy, WA 99003-7001 | 2012-09-18 |
| 1316922792 | Victor S Stime | Dentist | 34705 N Newport Hwy, Riverside Dental Clinic, Chattaroy, WA 99003-7711 | 2005-12-08 |
| 1225087539 | David A Bennett | Pediatrics | 34705 N Newport Hwy, Chattaroy, WA 99003-7711 | 2006-05-06 |
| 1598713463 | David A Bennett Md | Pediatrics | 34705 N Newport Hwy, Chattaroy, WA 99003-7711 | 2006-05-04 |
| 1912976838 | Nathan P Stime | Family Medicine | 34705 N Newport Hwy, Suite A, Chattaroy, WA 99003-7711 | 2006-03-14 |
| 1376512293 | Nathan P Stime Md Riverside Medical-dental Clinic | Family Medicine | 34705 N Newport Hwy, Suite A, Chattaroy, WA 99003-7711 | 2006-03-14 |
| Find all providers in zip 99003 | ||||
| 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 |
|---|---|---|---|---|
| 1316922792 | Victor S Stime | Dentist | 34705 N Newport Hwy, Riverside Dental Clinic, Chattaroy, WA 99003-7711 | 2005-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113015 | Victor Bing-sheng Shih | Dentist | 9235 158th Pl Ne, Redmond, WA 98052-7524 | 2020-10-28 |
| 1730789082 | Kim & Cervantes-kim Dds Pllc | Dentist | 945 Elliott Ave W Ste 212, Seattle, WA 98119-3645 | 2020-10-27 |
| 1285233023 | Se Won An | Dentist | 7311 Ne 141st St Ste 2, Kirkland, WA 98034-9703 | 2020-10-22 |
| 1760080469 | Tanveer Singh Buttar | Dentist | 13955 57th Ave S, Tukwila, WA 98168 | 2020-10-14 |
| 1801494711 | Caroline Brown Corbett | Dentist | 8012 112th St Ct E #320, Puyallup, WA 98373 | 2020-10-13 |
| 1790383867 | Washington Dental Corporation, PC | Dentist | 620 1st Ave N, Seattle, WA 98109-4001 | 2020-10-12 |
| 1275140535 | Byeonguk Kang | Dentist | 1959 Ne Pacific St Rm B403, Seattle, WA 98195-0001 | 2020-09-29 |
| 1609483239 | Baptista Kwok Dds1 Pllc | Dentist | 17265 Se Wax Rd., #101, Covington, WA 98042 | 2020-09-28 |
| 1013524743 | David Park | Dentist | 810 3rd Ave Ste 200, Seattle, WA 98104-1614 | 2020-09-27 |
| 1821605940 | Jade W. Gan, Dds, Pllc | Dentist | 12902 Bothell Everett Hwy Ste E, Everett, WA 98208-6635 | 2020-09-24 |
| Find all providers with the same taxonomy | ||||
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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.