SOUTHRIDGE DENTAL
NPI 1215326202
Clinic/Center - Dental in Kennewick, WA
- Organization
- Clinic/Center
- Dental
About SOUTHRIDGE DENTAL
This page provides the complete NPI Profile along with additional information for Southridge Dental, a provider established in Kennewick, Washington operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1215326202 assigned on January 2015. The practitioner's primary taxonomy code is 261QD0000X with license number DE60232632 (WA). The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's is doing business as Southridge Dental. The authorized official of this NPI record is Dr. Eric Winterton Dds (Dentist)
- NPI
- 1215326202 Verify this NPI
- Provider Legal Name
- ERIC WINTERTON DDS PLLC
- Other Organization Name
- SOUTHRIDGE DENTAL
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 3911 W 27TH AVE STE 105 KENNEWICK, WA 99337
- Location Phone
- (509) 581-0081
- Mailing Address
- 3911 W 27TH AVE STE 105 KENNEWICK, WA 99337
- Mailing Phone
- (509) 581-0081
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-14-2015
- Last Update Date
- 01-14-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Dental
- Taxonomy Code
- 261QD0000X
- Type
- Ambulatory Health Care Facilities
- License No.
- DE60232632
- License State
- WA
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2038359 | MEDICAID (05) | WA |
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Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
KENNEWICK, WA 99337
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215326202, enumerated as an "organization" on January 14, 2015.
The provider is located at 3911 W 27TH AVE STE 105 KENNEWICK, WA 99337 and the phone number is (509) 581-0081.
Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
