WENATCHEE WISDOM TEETH PLLC
NPI 1104624170
Dentist in Wenatchee, WA

Q: What is Wenatchee Wisdom Teeth PLLC's NPI number?

The NPI number for Wenatchee Wisdom Teeth PLLC is 1104624170. It was assigned to this organization in the NPPES registry on March 5, 2025. The provider is doing business as Wenatchee Wisdom Teeth.

Q: What is Wenatchee Wisdom Teeth PLLC's specialty?

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

Active since March 05, 2025

211 N WHITMAN WAY, WENATCHEE, WA 98801(509) 888-8088 Get Directions Write a Review

NPPES record last updated: March 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 21, 2025, Mar 5, 2025 (2 updates tracked since 2025).

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About Wenatchee Wisdom Teeth Pllc NPPES

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

WENATCHEE WISDOM TEETH PLLC (NPI 1104624170), doing business as Wenatchee Wisdom Teeth, is a healthcare organization registered as a dentist in Wenatchee, Washington and active in the NPI registry since March 2025. The organization lists Ricardo Alfonso Colunga, Business Director, as its authorized official.

NPPES Registry Identity

NPI1104624170

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameWENATCHEE WISDOM TEETH PLLC

Location Address211 N WHITMAN WAYWenatchee, WA 98801-2192

Mailing Address211 N Whitman WayWenatchee, WA 98801-2192 · (509) 888-8088

Phone(509) 888-8088

Organization SubpartNo

Authorized OfficialRicardo Alfonso ColungaBusiness Director · (509) 885-5703

Enumeration DateMarch 5, 2025

Last NPPES UpdateMarch 21, 20252 updates tracked since enumeration

NPPES CertifiedMarch 21, 2025

✔ NPI 1104624170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

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.

211 N WHITMAN WAY, Wenatchee, WA 98801

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Other Names 1

Doing Business AsWenatchee Wisdom Teeth

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 4

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

EPPICH NW, LLC

Dentist (Dentist Anesthesiologist)

211 N WHITMAN WAY
WENATCHEE, WA 98801

Chelan County (509) 942-9333

SCOTT BIBBENS, DMD, PLLC

Dentist

211 N WHITMAN WAY
WENATCHEE, WA 98801

Chelan County (509) 663-5722

DR. JONATHAN MUNGER DICKSON DMD

Dentist

211 N WHITMAN WAY
WENATCHEE, WA 98801

Chelan County (509) 888-8088

SCOTT BIBBENS DMD PL LLC

Dentist (General Practice)

211 N WHITMAN WAY
WENATCHEE, WA 98801

Chelan County (509) 663-5722

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 Wenatchee Wisdom Teeth PLLC's NPI number?

The NPI number for Wenatchee Wisdom Teeth PLLC is 1104624170. It was assigned to this organization in the NPPES registry on March 5, 2025. The provider is doing business as Wenatchee Wisdom Teeth.

Where is Wenatchee Wisdom Teeth PLLC located?

Wenatchee Wisdom Teeth PLLC is located at 211 N Whitman Way, Wenatchee, WA 98801. The listed phone number is (509) 888-8088.

What is Wenatchee Wisdom Teeth PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Wenatchee Wisdom Teeth PLLC was last updated on March 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.