Individual provider · Type 1 NPI

Jennifer Miranda Domagalski, DMD

Dentist · Kennewick, WA

NPI number 1972819357 Active

Practice location

2611 S Quillan Pl Ste 110
Kennewick, WA 99338-1899

Mailing address

PO Box 190
Toppenish, WA 98948-0190

Other practice locations

  • 1296 Agvik St, Barrow, AK 99723 · (907) 852-9255

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XDE60689948 (WA)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1972819357

Jennifer Miranda Domagalski, DMD's National Provider Identifier is 1972819357, issued on Aug 24, 2010. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Kennewick, WA. The record was last updated on May 1, 2026.