LONGVIEW-KELSO DENTAL OFFICE
NPI 1063964294
Dentist - General Practice in Longview, WA

Q: What is Kaiser Foundation Health Plan Of The Northwest's specialty?

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

Active since November 04, 2016

1230 7TH AVE, LONGVIEW, WA 98632(800) 813-2000(503) 286-6879 Get Directions Write a Review

NPPES record last updated: June 1, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 1, 2021, Nov 4, 2016 (2 updates tracked since 2016).

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About Longview-kelso Dental Office NPPES

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

LONGVIEW-KELSO DENTAL OFFICE (NPI 1063964294) is a healthcare organization registered as a general practice in Longview, Washington and active in the NPI registry since November 2016. The organization lists Kenneth R Wright, Vp Dental Care Services, as its authorized official.

NPPES Registry Identity

NPI1063964294

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameKAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST

Location Address1230 7TH AVELongview, WA 98632-3166

Mailing Address500 Ne Multnomah StPortland, OR 97232-2023 · (800) 813-2000 · Fax (503) 286-6879

Phone(800) 813-2000

Fax(503) 286-6879

Organization SubpartYesParent: Kaiser Permanente Dental Care Program

Authorized OfficialKenneth R WrightVp Dental Care Services · (503) 813-4660

Enumeration DateNovember 4, 2016

Last NPPES UpdateJune 1, 20212 updates tracked since enumeration

NPPES CertifiedJune 1, 2021

✔ NPI 1063964294 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.

1230 7TH AVE, Longview, WA 98632

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Other Names 1

Other NameLongview-kelso Dental Office

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 20

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

DR. DAVID ROSS FITCH D.D.S.

Dentist (General Practice)