Organization · Type 2 NPI

House, Lee, Mast, McDonald and Nelson, PC

Pediatric Dentistry · Walla Walla, WA

NPI number 1740630342 Active

Practice location

107 E Cherry St
Walla Walla, WA 99362-1912

Specialties and licenses

Taxonomy	Code	License
Pediatric Dentistry Primary	1223P0221X	DE60203055 (WA)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Other pediatric dentistry providers in Walla Walla

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NPI record

NPI: 1740630342
Entity type: Organization (Type 2)
Issued: Jun 15, 2016
Last updated: Aug 19, 2020
Status: Active

Other names

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Advanced Pediatric Dentistry of Walla Walla · doing business as
Craik Pediatric Dentistry · doing business as

Authorized official

Mellissa Renner
Regional Operations Manager
(541) 667-4145

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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 1740630342

House, Lee, Mast, McDonald and Nelson, PC's National Provider Identifier is 1740630342, issued on Jun 15, 2016. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Walla Walla, WA. The record was last updated on Aug 19, 2020.