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SERENITY DENTAL
NPI 1013311729
Dentist - General Practice in Vancouver, WA

Active since October 09, 2014
6614 E MILL PLAIN BLVD, VANCOUVER, WA 98661(360) 696-0471(360) 993-8881 Get Directions Write a Review

NPPES record last updated: October 9, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Serenity Dental NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SERENITY DENTAL (NPI 1013311729) is a healthcare organization registered as a general practice in Vancouver, Washington and active in the NPI registry since October 2014. The organization lists Supriya Goverdhanam, Owner, as its authorized official.

NPPES Registry Identity

NPI1013311729
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSERENITY DENTAL
Location Address6614 E MILL PLAIN BLVDVancouver, WA 98661-7458
Mailing Address6614 E Mill Plain BlvdVancouver, WA 98661-7458 · (360) 696-0471 · Fax (360) 993-8881
Phone(360) 696-0471
Fax(360) 993-8881
Organization SubpartNo
Authorized OfficialSupriya GoverdhanamOwner · (360) 696-0471
Enumeration DateOctober 9, 2014
✔ NPI 1013311729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
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.
6614 E MILL PLAIN BLVD, Vancouver, WA 98661
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ALAN R ANDERSON DDS
Dentist
6614 E MILL PLAIN BLVD
VANCOUVER, WA 98661
Clark County (360) 696-0471
MOHAMMED ALROSHAIDAN
Dentist
6614 E MILL PLAIN BLVD
VANCOUVER, WA 98661
Clark County (360) 696-0471
EUNSUN LEW, A DENTAL CORPORATION
Clinic/Center (Dental)
6614 E MILL PLAIN BLVD
VANCOUVER, WA 98661
Clark County (360) 696-0471

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Serenity Dental's NPI number?

The NPI number for Serenity Dental is 1013311729. It was assigned to this organization in the NPPES registry on October 9, 2014.

Where is Serenity Dental located?

Serenity Dental is located at 6614 E Mill Plain Blvd, Vancouver, WA 98661. The listed phone number is (360) 696-0471.

What is Serenity Dental's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Serenity Dental was last updated on October 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.