ESTELA GOMEZ LICEA DDS
NPI 1396311049
Dentist in Wenatchee, WA

Q: What is Estela Gomez Licea's NPI number?

The NPI number for Estela Gomez Licea is 1396311049. It was assigned to this individual provider in the NPPES registry on June 2, 2021.

Q: What is Estela Gomez Licea's specialty?

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

Active since June 02, 2021PECOS Enrolled

600 ORONDO AVE STE 1, WENATCHEE, WA 98801(509) 662-6000 Get Directions Write a Review

NPPES record last updated: October 27, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Estela Gomez Licea Dds NPPES

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

ESTELA GOMEZ LICEA DDS (NPI 1396311049) is an individual dentist in Wenatchee, Washington, licensed in Washington (DE61370687) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396311049

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameESTELA GOMEZ LICEACredential: DDS

Location Address600 ORONDO AVE STE 1Wenatchee, WA 98801-2800

Mailing Address600 Orondo Ave Ste 1Wenatchee, WA 98801-2800 · (509) 662-6000

Phone(509) 662-6000

Sole ProprietorNo

Enumeration DateJune 2, 2021

Last NPPES UpdateOctober 27, 2025

NPPES CertifiedOctober 27, 2025

✔ NPI 1396311049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in WA · DE61370687

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.

600 ORONDO AVE STE 1, Wenatchee, WA 98801

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Estela Gomez Licea Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$71.29 typical visit price

range $18.56 – $141.11

Typical copayment $17.82 (range $4.64 – $35.27)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

CHRISTINE A YOUNG

Nurse Practitioner (Pediatrics)