BASIC DENTAL CARE OF WALLA WALLA
NPI 1578889739
Dentist - General Practice in Walla Walla, WA

Active since April 13, 2010
2014 S HOWARD ST STE D, WALLA WALLA, WA 99362(509) 525-9111(509) 525-0832 Get Directions Write a Review

NPPES record last updated: April 13, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Basic Dental Care Of Walla Walla NPPES

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

BASIC DENTAL CARE OF WALLA WALLA (NPI 1578889739) is a healthcare organization registered as a general practice in Walla Walla, Washington and active in the NPI registry since April 2010. The organization lists Danis L Laizure, Owner, as its authorized official.

NPPES Registry Identity

NPI1578889739
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBASIC DENTAL CARE OF WALLA WALLA
Location Address2014 S HOWARD ST STE DWalla Walla, WA 99362-4532
Mailing Address2014 S Howard St Ste DWalla Walla, WA 99362-4532 · (509) 525-9111 · Fax (509) 525-0832
Fax(509) 525-0832
Organization SubpartNo
Authorized OfficialDanis L LaizureOwner · (509) 525-4833
Enumeration DateApril 13, 2010
NPI 1578889739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in WA · 4946
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 S HOWARD ST STE D, Walla Walla, WA 99362

Other Identifiers 1

Medicaid5056833WA

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

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 Basic Dental Care Of Walla Walla's NPI number?

The NPI number for Basic Dental Care Of Walla Walla is 1578889739. It was assigned to this organization in the NPPES registry on April 13, 2010.

Where is Basic Dental Care Of Walla Walla located?

Basic Dental Care Of Walla Walla is located at 2014 S Howard St Ste D, Walla Walla, WA 99362. The listed phone number is (509) 525-9111.

What is Basic Dental Care Of Walla Walla's specialty?

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

When was this NPI record last updated?

The NPPES record for Basic Dental Care Of Walla Walla was last updated on April 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.