Wenatchee Dental Arts
Clinic/Center, Dental in Wenatchee, WA. Organization (NPI-2).
NPI number1689348583
StatusActive
Last updated in NPPESAug 4, 2021
Details
- NPI
- 1689348583
- Entity type
- Organization (NPI-2)
- Legal business name
- Wenatchee Dental Arts
- Organization subpart
- No
- Enumeration date
- Aug 4, 2021
- Certification date
- Aug 4, 2021
- Last updated
- Aug 4, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
| 261QS0112X | Clinic/Center, Oral and Maxillofacial Surgery | – | – |
Practice location
417 N Mission StWenatchee, WA 98801-2007
Phone 509-664-2920 · Fax 509-663-1453
Mailing address
417 N Mission StWenatchee, WA 98801-2007
Phone 509-664-2920 · Fax 509-663-1453
Authorized official
John Divis
Owner
5096642920
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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