KAMILCHE DENTAL CENTER
NPI 1043379480
Dentist in Shelton, WA

Q: What is Kamilche Dental Center's NPI number?

The NPI number for Kamilche Dental Center is 1043379480. It was assigned to this organization in the NPPES registry on December 8, 2006.

Q: What is Kamilche Dental Center's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since December 08, 2006

3100 SE OLD OLYMPIC HWY, SHELTON, WA 98584(360) 427-1784(360) 427-1818 Get Directions Write a Review

NPPES record last updated: August 7, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kamilche Dental Center NPPES

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

KAMILCHE DENTAL CENTER (NPI 1043379480) is a healthcare organization registered as a dentist in Shelton, Washington and active in the NPI registry since December 2006. The organization lists Steven R Peters, Owner, as its authorized official.

NPPES Registry Identity

NPI1043379480

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameKAMILCHE DENTAL CENTER

Location Address3100 SE OLD OLYMPIC HWYShelton, WA 98584-7731

Mailing Address3100 Se Old Olympic HwyShelton, WA 98584-7731 · (360) 427-1784 · Fax (360) 427-1818

Phone(360) 427-1784

Fax(360) 427-1818

Organization SubpartNo

Authorized OfficialSteven R PetersOwner · (360) 427-1784

Enumeration DateDecember 8, 2006

Last NPPES UpdateAugust 7, 2012

✔ NPI 1043379480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in WA · DE00008865

Definition

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 requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Also ListedDenturistTaxonomy 122400000X · License DN0000036 (WA), DN00000236 (WA)

3100 SE OLD OLYMPIC HWY, Shelton, WA 98584

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Other Identifiers 2

Medicare ID-Type Unspecified5040365WA

Medicaid5040365WA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

CADEN NGO D.D.S

Dentist