Organization · Type 2 NPI

Dental Professionals of Washington, Quirt, Mongrain, Gibree, PC

General Practice Dentistry · Vancouver, WA

NPI number 1053149328 Active

Practice location

160 NE 192nd Ave Ste 301
Vancouver, WA 98684-7511

Call (564) 236-1990 Map

Fax (564) 236-1986

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None listed

General Practice Dentistry: 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.

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NPI record

NPI: 1053149328
Entity type: Organization (Type 2)
Issued: Jul 26, 2024
Last updated: Jul 26, 2024
Status: Active
Subpart: Yes of Dental Professionals of Washington, Quirt, Mongrain, Gibree, PC

Other names

Willow Grove Dental Care · doing business as

Authorized official

Hillary Thull
Credentialing Coordinator
(217) 540-8946

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1053149328

Dental Professionals of Washington, Quirt, Mongrain, Gibree, PC's National Provider Identifier is 1053149328, issued on Jul 26, 2024. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Vancouver, WA. The record was last updated on Jul 26, 2024.