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DENTAL PROFESSIONALS OF WASHINGTON QUIRT MONGRAIN GIBREE PC
NPI 1558039594
Dentist - General Practice in Walla Walla, WA

Active since September 03, 2021
2014 HOWARD ST STE A, WALLA WALLA, WA 99362(509) 525-4833 Get Directions Write a Review

NPPES record last updated: September 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dental Professionals Of Washington Quirt Mongrain Gibree Pc NPPES

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

DENTAL PROFESSIONALS OF WASHINGTON QUIRT MONGRAIN GIBREE PC (NPI 1558039594), doing business as Walla Walla Dental, is a healthcare organization registered as a general practice in Walla Walla, Washington and active in the NPI registry since September 2021. The organization lists Tabatha Lemke, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1558039594
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDENTAL PROFESSIONALS OF WASHINGTON QUIRT MONGRAIN GIBREE PC
Location Address2014 HOWARD ST STE AWalla Walla, WA 99362-4532
Mailing Address2014 Howard St Ste AWalla Walla, WA 99362-4532
Phone(509) 525-4833
Organization SubpartYesParent: Heartland Dental
Authorized OfficialTabatha LemkeCredentialing Coordinator · (217) 540-6078
Enumeration DateSeptember 3, 2021
NPPES CertifiedSeptember 3, 2021
✔ NPI 1558039594 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.
2014 HOWARD ST STE A, Walla Walla, WA 99362
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Other Names 1

Doing Business AsWalla Walla Dental

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

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES

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

DR. ADRIANA RENEE ZELAYA DDS
Dentist (General Practice)
2014 HOWARD ST STE A
WALLA WALLA, WA 99362
Walla Walla County (509) 525-4833

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 1558039594. It was assigned to this organization in the NPPES registry on September 3, 2021. The provider is doing business as Walla Walla Dental.

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

Dental Professionals Of Washington Quirt Mongrain Gibree PC is located at 2014 Howard St Ste A, Walla Walla, WA 99362. The listed phone number is (509) 525-4833.

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 and UnitedHealthcare 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 September 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.