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CUSTOM DENTURES LLC
NPI 1093965600
Denturist in Vancouver, WA

Active since September 19, 2008
13720 NE 28TH ST, #B, VANCOUVER, WA 98682(360) 883-9888(360) 883-9909 Get Directions Write a Review

NPPES record last updated: September 19, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Custom Dentures Llc NPPES

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

CUSTOM DENTURES LLC (NPI 1093965600) is a healthcare organization registered as a denturist in Vancouver, Washington and active in the NPI registry since September 2008. The organization lists Cameron L. Fettig, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1093965600
Entity TypeOrganization
Primary Taxonomy122400000X
Legal Business NameCUSTOM DENTURES LLC
Location Address13720 NE 28TH ST, #BVancouver, WA 98682-8048
Mailing Address13720 Ne 28th St, #bVancouver, WA 98682-8048 · (360) 883-9888 · Fax (360) 883-9909
Phone(360) 883-9888
Fax(360) 883-9909
Organization SubpartNo
Authorized OfficialCameron L. FettigBusiness Manager · (360) 883-9888
Enumeration DateSeptember 19, 2008
✔ NPI 1093965600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDenturistDental Providers
Taxonomy Code122400000X
License✔ Licensed in WA · DN00000393
Definition
A denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices.
13720 NE 28TH ST, Vancouver, WA 98682
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Other Identifiers 1

Medicaid5047576WA

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 2

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

DR. DANIELA ALMAJAN DDS
Dentist
13720 NE 28TH ST, SUITE A
VANCOUVER, WA 98682
Clark County (360) 253-0300
EVERGREEN DENTURE CENTER
Denturist
13720 NE 28TH ST
VANCOUVER, WA 98682
Clark County (360) 256-4656

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 Custom Dentures LLC's NPI number?

The NPI number for Custom Dentures LLC is 1093965600. It was assigned to this organization in the NPPES registry on September 19, 2008.

Where is Custom Dentures LLC located?

Custom Dentures LLC is located at 13720 NE 28th St #b, Vancouver, WA 98682. The listed phone number is (360) 883-9888.

What is Custom Dentures LLC's specialty?

The primary specialty registered for this NPI is Denturist with taxonomy code 122400000X.

When was this NPI record last updated?

The NPPES record for Custom Dentures LLC was last updated on September 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.