1. Home
  2. Directory
  3. Washington
  4. Tenino
  5. Denturist
  6. NPI Profile

TENINO DENTURE CENTER, LLC
NPI 1366885204
Denturist in Tenino, WA

Active since April 10, 2013
296 SUSSEX AVE W, TENINO, WA 98589(360) 264-5500 Get Directions Write a Review

NPPES record last updated: April 10, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tenino Denture Center, Llc NPPES

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

TENINO DENTURE CENTER, LLC (NPI 1366885204) is a healthcare organization registered as a denturist in Tenino, Washington and active in the NPI registry since April 2013. The organization lists Maenell Sullivan, Member, as its authorized official.

NPPES Registry Identity

NPI1366885204
Entity TypeOrganization
Primary Taxonomy122400000X
Legal Business NameTENINO DENTURE CENTER, LLC
Location Address296 SUSSEX AVE WTenino, WA 98589-9360
Mailing AddressPo Box 1051Tenino, WA 98589-1051
Phone(360) 264-5500
Organization SubpartNo
Authorized OfficialMaenell SullivanMember · (360) 264-5500
Enumeration DateApril 10, 2013
✔ NPI 1366885204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDenturistDental Providers
Taxonomy Code122400000X
License✔ Licensed in WA · DN000361WA
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.
296 SUSSEX AVE W, Tenino, WA 98589
Open in Google Maps ↗

Other Identifiers 3

Other1679675367WA · Npi Type I
OtherDN000361WAWA · Professional License
Medicaid5045273WA

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

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

MS. MAENELL SULLIVAN DENTURIST DPD
Denturist
296 SUSSEX AVE W
TENINO, WA 98589
Thurston County (360) 264-5500

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 Tenino Denture Center, LLC's NPI number?

The NPI number for Tenino Denture Center, LLC is 1366885204. It was assigned to this organization in the NPPES registry on April 10, 2013.

Where is Tenino Denture Center, LLC located?

Tenino Denture Center, LLC is located at 296 Sussex Ave W, Tenino, WA 98589. The listed phone number is (360) 264-5500.

What is Tenino Denture Center, 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 Tenino Denture Center, LLC was last updated on April 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.