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CLARKSTON DENTURIST CLINIC
NPI 1538487665
Denturist in Clarkston, WA

Active since May 13, 2010
1346 12TH ST, CLARKSTON, WA 99403(509) 758-7805(509) 751-1510 Get Directions Write a Review

NPPES record last updated: May 13, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Clarkston Denturist Clinic NPPES

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

CLARKSTON DENTURIST CLINIC (NPI 1538487665) is a healthcare organization registered as a denturist in Clarkston, Washington and active in the NPI registry since May 2010. The organization lists Eldred Donald Olson, Owner/operator, as its authorized official.

NPPES Registry Identity

NPI1538487665
Entity TypeOrganization
Primary Taxonomy122400000X
Legal Business NameCLARKSTON DENTURIST CLINIC
Location Address1346 12TH STClarkston, WA 99403-2821
Mailing Address1346 12th StClarkston, WA 99403-2821 · (509) 758-7805 · Fax (509) 751-1510
Phone(509) 758-7805
Fax(509) 751-1510
Organization SubpartNo
Authorized OfficialEldred Donald OlsonOwner/operator · (509) 758-7805
Enumeration DateMay 13, 2010
✔ NPI 1538487665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDenturistDental Providers
Taxonomy Code122400000X
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.
1346 12TH ST, Clarkston, WA 99403
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Other Identifiers 1

Medicaid1003977091WA

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.

MR. CLINTON JERROD OLSON L.D.
Denturist
1346 12TH ST
CLARKSTON, WA 99403
Asotin County (509) 758-7805

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 Clarkston Denturist Clinic's NPI number?

The NPI number for Clarkston Denturist Clinic is 1538487665. It was assigned to this organization in the NPPES registry on May 13, 2010.

Where is Clarkston Denturist Clinic located?

Clarkston Denturist Clinic is located at 1346 12th St, Clarkston, WA 99403. The listed phone number is (509) 758-7805.

What is Clarkston Denturist Clinic'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 Clarkston Denturist Clinic was last updated on May 13, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.