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DR. DAVID C HADERLIE DDS
NPI 1528296399
Dentist - Endodontics in Moses Lake, WA

Active since June 30, 2009
605 S COOLIDGE ST, MOSES LAKE, WA 98837(509) 765-0674 Get Directions Write a Review

NPPES record last updated: August 4, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 4, 2022, Jul 27, 2017, Jan 18, 2017 (3 updates tracked since 2017).

About Dr. David C Haderlie Dds NPPES

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

DR. DAVID C HADERLIE DDS (NPI 1528296399) is an individual endodontics provider in Moses Lake, Washington, licensed in Washington (DE60720894) and active in the NPI registry since June 2009.

NPPES Registry Identity

NPI1528296399
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameDR. DAVID C HADERLIECredential: DDS
Location Address605 S COOLIDGE STMoses Lake, WA 98837-1873
Mailing Address263 Farmington AveFarmington, CT 06030-0002
Phone(509) 765-0674
Sole ProprietorNo
Enumeration DateJune 30, 2009
Last NPPES UpdateAugust 4, 20223 updates tracked since enumeration
NPPES CertifiedAugust 4, 2022
✔ NPI 1528296399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
Licenses✔ Licensed in WA · DE60720894✔ Licensed in WA · 60720894
Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

Also ListedDentistTaxonomy 122300000X · License D4237 (ID), DE60720894 (WA)
605 S COOLIDGE ST, Moses Lake, WA 98837
Open in Google Maps ↗

Other Identifiers 1

Medicaid2016334WA

Accepted Insurance

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

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.

MRS. SARA LYNN LOGAN DDS
Dentist
605 S COOLIDGE ST
MOSES LAKE, WA 98837
Grant County (509) 765-0674
JILL SIMON MD
Family Medicine
605 S COOLIDGE ST
MOSES LAKE, WA 98837
Grant County (509) 765-0674
MR. JOHN F BROWNE PA-C
Physician Assistant (Medical)
605 S COOLIDGE ST
MOSES LAKE, WA 98837
Grant County (509) 764-0674
MS. MARY K AARDAL R.D.
Dietitian, Registered
605 S COOLIDGE ST
MOSES LAKE, WA 98837
Grant County (509) 765-0674
BRETT L PACK D.M.D.
Dentist
605 S COOLIDGE ST
MOSES LAKE, WA 98837
Grant County (509) 765-0674
MOSES LAKE COMMUNITY HEALTH CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
605 S COOLIDGE ST
MOSES LAKE, WA 98837
Grant County (509) 765-0674
MS. SANDY D ANDERSON DH
Dental Hygienist
605 S COOLIDGE ST
MOSES LAKE, WA 98837
Grant County (509) 765-0674
MS. HOLLY L KOLVES DH
Dental Hygienist
605 S COOLIDGE ST
MOSES LAKE, WA 98837
Grant County (509) 765-0674

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 David Haderlie's NPI number?

The NPI number for David Haderlie is 1528296399. It was assigned to this individual provider in the NPPES registry on June 30, 2009.

Where is David Haderlie located?

David Haderlie practices at 605 S Coolidge St, Moses Lake, WA 98837. The listed phone number is (509) 765-0674.

What is David Haderlie's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

What insurance does David Haderlie accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and Premera Blue Cross Blue Shield of Alaska list David Haderlie 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 David Haderlie was last updated on August 4, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.