NORTHWEST ORAL HEALTH OUTREACH
NPI 1629445929
Clinic/Center - Dental in Ellensburg, WA

Q: What is Northwest Oral Health Outreach LLC's NPI number?

The NPI number for Northwest Oral Health Outreach LLC is 1629445929. It was assigned to this organization in the NPPES registry on August 21, 2015. The provider is doing business as Northwest Oral Health Outreach.

Q: What is Northwest Oral Health Outreach LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Active since August 21, 2015

2353 LOWER GREEN CANYON RD, ELLENSBURG, WA 98926(509) 607-1872 Get Directions Write a Review

NPPES record last updated: August 21, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Northwest Oral Health Outreach NPPES

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

NORTHWEST ORAL HEALTH OUTREACH (NPI 1629445929) is a healthcare organization registered as a dental in Ellensburg, Washington and active in the NPI registry since August 2015. The organization lists Brenden J Davis, Ceo, as its authorized official.

NPPES Registry Identity

NPI1629445929

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameNORTHWEST ORAL HEALTH OUTREACH LLC

Location Address2353 LOWER GREEN CANYON RDEllensburg, WA 98926-8514

Mailing Address2353 Lower Green Canyon RdEllensburg, WA 98926-8514 · (509) 607-1872

Phone(509) 607-1872

Organization SubpartNo

Authorized OfficialBrenden J DavisCeo · (509) 607-1872

Enumeration DateAugust 21, 2015

✔ NPI 1629445929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

License✔ Licensed in WA · 603513887

2353 LOWER GREEN CANYON RD, Ellensburg, WA 98926

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Other Names 1

Doing Business AsNorthwest Oral Health Outreach

Other Identifiers 3

Other0255549WA · Labor & Industries

Medicaid5060215WA

Medicare OSCAR/certificationAB38059WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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 Northwest Oral Health Outreach LLC's NPI number?

The NPI number for Northwest Oral Health Outreach LLC is 1629445929. It was assigned to this organization in the NPPES registry on August 21, 2015. The provider is doing business as Northwest Oral Health Outreach.

Where is Northwest Oral Health Outreach LLC located?

Northwest Oral Health Outreach LLC is located at 2353 Lower Green Canyon Rd, Ellensburg, WA 98926. The listed phone number is (509) 607-1872.

What is Northwest Oral Health Outreach LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

What insurance does Northwest Oral Health Outreach LLC accept?

Health plans from UnitedHealthcare list Northwest Oral Health Outreach LLC 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 Northwest Oral Health Outreach LLC was last updated on August 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.