Professional Denture Clinic
LBN: The Professional Denture Center
Professional Denture Clinic is an health care organization with primary practice located at 533 South Mission St , Wenatchee WA 98801. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Denturist. Dental Providers / Dentist is the primary health care specialty.
The Professional Denture Center can be contacted via phone (509) 664-7308, or through Dickson, Jonathan Munger via phone (253) 230-8084.
Contact Information
Primary practice address
533 South Mission St
Wenatchee WA 98801
Phone: (509) 664-7308
Fax: (509) 664-4068
Website:
Authorized official contact:
Name: Dickson, Jonathan Munger Doctor of Dental Medicine (DMD)
Phone: (253) 230-8084
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 60292621 | Washington |
| Dental Providers / Denturist | 122400000X | 60772847 | Washington |
Profile Details
| NPI number | 1962916379 |
|---|---|
| LBN Legal business name | The Professional Denture Center |
| DBA Doing business as | Professional Denture Clinic |
| Authorized official | Dickson, Jonathan Munger Doctor of Dental Medicine (DMD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 21st, 2017 |
| Last updated | Dec 7th, 2017 - about 7 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962916379 | NPPES |
| Washington | MEDICAID | 2059589 |
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