Individual provider · Type 1 NPI

Nicholas Orlando Runningwolf, DHAT

Dental Therapist · Port Angeles, WA

NPI number 1265350607 Active

Practice location

243511 US-101 E
Port Angeles, WA 98363

Fax (360) 797-1369

Specialties and licenses

TaxonomyCodeLicense
Dental Therapist Primary 125J00000X25-0003-DHAT (WA)

Dental Therapist: A Dental Therapist is an individual who has completed an accredited or non-accredited dental therapy program and who has been authorized by the relevant state board or a tribal entity to provide services within the scope of their practice under the supervision of a dentist. Functions that may be delegated to the dental therapist vary based on the needs of the dentist, the educational preparation of the dental therap…

About NPI 1265350607

Nicholas Orlando Runningwolf, DHAT's National Provider Identifier is 1265350607, issued on Jul 6, 2026. The primary taxonomy on file is Dental Therapist (125J00000X), and the practice location is in Port Angeles, WA. The record was last updated on Jul 6, 2026.