DENTAL PROFESSIONALS OF WASHINGTON, QUIRT, MONGRAIN, GIBREE, PC
NPI 1053149328
Dentist - General Practice in Vancouver, WA

Q: What is Dental Professionals Of Washington, Quirt, Mongrain, Gibree, PC's specialty?

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

Active since July 26, 2024

160 NE 192ND AVE STE 301, VANCOUVER, WA 98684(564) 236-1990(564) 236-1986 Get Directions Write a Review

NPPES record last updated: July 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dental Professionals Of Washington, Quirt, Mongrain, Gibree, Pc NPPES

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

DENTAL PROFESSIONALS OF WASHINGTON, QUIRT, MONGRAIN, GIBREE, PC (NPI 1053149328), doing business as Willow Grove Dental Care, is a healthcare organization registered as a general practice in Vancouver, Washington and active in the NPI registry since July 2024. The organization lists Hillary Thull, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1053149328

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameDENTAL PROFESSIONALS OF WASHINGTON, QUIRT, MONGRAIN, GIBREE, PC

Location Address160 NE 192ND AVE STE 301Vancouver, WA 98684-7511

Mailing Address160 Ne 192nd Ave Ste 301Vancouver, WA 98684-7511

Phone(564) 236-1990

Fax(564) 236-1986

Organization SubpartYes

Authorized OfficialHillary ThullCredentialing Coordinator · (217) 540-8946

Enumeration DateJuly 26, 2024

NPPES CertifiedJuly 26, 2024

✔ NPI 1053149328 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.

160 NE 192ND AVE STE 301, Vancouver, WA 98684

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Other Names 1

Doing Business AsWillow Grove Dental Care

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

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 Dental Professionals Of Washington, Quirt, Mongrain, Gibree, PC's NPI number?

The NPI number for Dental Professionals Of Washington, Quirt, Mongrain, Gibree, PC is 1053149328. It was assigned to this organization in the NPPES registry on July 26, 2024. The provider is doing business as Willow Grove Dental Care.

Where is Dental Professionals Of Washington, Quirt, Mongrain, Gibree, PC located?

Dental Professionals Of Washington, Quirt, Mongrain, Gibree, PC is located at 160 NE 192nd Ave Ste 301, Vancouver, WA 98684. The listed phone number is (564) 236-1990.

What is Dental Professionals Of Washington, Quirt, Mongrain, Gibree, PC'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 Dental Professionals Of Washington, Quirt, Mongrain, Gibree, PC was last updated on July 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.