WILDERNESS DENTAL CARE
NPI 1518569086
Dentist - General Practice in Maple Valley, WA

Active since November 10, 2020
23818 225TH AVE SE STE 100, MAPLE VALLEY, WA 98038(425) 358-2553(425) 358-7092 Get Directions Write a Review

NPPES record last updated: January 15, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jan 15, 2021, Nov 10, 2020 (2 updates tracked since 2020).

About Wilderness Dental Care NPPES

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

WILDERNESS DENTAL CARE (NPI 1518569086) is a healthcare organization registered as a general practice in Maple Valley, Washington and active in the NPI registry since November 2020. The organization lists Jessica Britt, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1518569086
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDENTAL PROFESSIONALS OF WASHINGTON QUIRT MONGRAIN GIBREE PC
Location Address23818 225TH AVE SE STE 100Maple Valley, WA 98038-5088
Mailing Address23818 225th Ave Se Ste 100Maple Valley, WA 98038-5088 · (425) 358-2553
Fax(425) 358-7092
Organization SubpartYesParent: Dental Professionals Of Washington, Quirt, Mongrain, Gibree, Pc
Authorized OfficialJessica BrittCredentialing Coordinator · (217) 540-5100
Enumeration DateNovember 10, 2020
Last NPPES UpdateJanuary 15, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 15, 2021
✔ NPI 1518569086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
23818 225TH AVE SE STE 100, Maple Valley, WA 98038

Other Names 1

Doing Business AsWilderness Dental Care

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

Accepted Insurance

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.

Dentist
23818 225TH AVE SE STE 100
MAPLE VALLEY, WA 98038
Dentist
23818 225TH AVE SE STE 100
MAPLE VALLEY, WA 98038

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 Dental Professionals Of Washington Quirt Mongrain Gibree PC's NPI number?

The NPI number for Dental Professionals Of Washington Quirt Mongrain Gibree PC is 1518569086. It was assigned to this organization in the NPPES registry on November 10, 2020. The provider is doing business as Wilderness Dental Care.

Where is Dental Professionals Of Washington Quirt Mongrain Gibree PC located?

Dental Professionals Of Washington Quirt Mongrain Gibree PC is located at 23818 225th Ave SE Ste 100, Maple Valley, WA 98038. The listed phone number is (425) 358-2553.

What is Dental Professionals Of Washington Quirt Mongrain Gibree PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Dental Professionals Of Washington Quirt Mongrain Gibree PC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Dental Professionals Of Washington Quirt Mongrain Gibree PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dental Professionals Of Washington Quirt Mongrain Gibree PC was last updated on January 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.