1. Home
  2. Directory
  3. Washington
  4. Centralia
  5. Dentist
  6. NPI Profile

KIDS DENTAL OF CENTRALIA, P.C.
NPI 1659796076
Dentist - General Practice in Centralia, WA

Active since February 21, 2014
1611 KRESKY AVE, CENTRALIA, WA 98531(360) 736-5437 Get Directions Write a Review

NPPES record last updated: February 21, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kids Dental Of Centralia, P.c. NPPES

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

KIDS DENTAL OF CENTRALIA, P.C. (NPI 1659796076) is a healthcare organization registered as a general practice in Centralia, Washington and active in the NPI registry since February 2014. The organization lists Justin Vanbibber, Owner, as its authorized official.

NPPES Registry Identity

NPI1659796076
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameKIDS DENTAL OF CENTRALIA, P.C.
Location Address1611 KRESKY AVECentralia, WA 98531-8982
Mailing Address1611 Kresky AveCentralia, WA 98531-8982
Phone(360) 736-5437
Organization SubpartNo
Authorized OfficialJustin VanbibberOwner · (360) 736-5437
Enumeration DateFebruary 21, 2014
✔ NPI 1659796076 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 · DE60282727
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.
1611 KRESKY AVE, Centralia, WA 98531
Open in Google Maps ↗

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 6

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

DR. MICHELLE BERGMANN WILSON DDS
Dentist (General Practice)
1611 KRESKY AVE, SUITE 118
CENTRALIA, WA 98531
Lewis County (360) 736-1114
DR. CHRISTIAN PATRICK WILSON D.D.S.
Dentist (General Practice)
1611 KRESKY AVE, SUITE 118
CENTRALIA, WA 98531
Lewis County (360) 736-1114
DR. BART C TIRRELL D.D.S., M.S.D., P.S.
Dentist (Endodontics)
1611 KRESKY AVE, SUITE 110
CENTRALIA, WA 98531
Lewis County (360) 807-0703
DR. FLOYD D SMITH M.D.
Internal Medicine
1611 KRESKY AVE, SUITE 112
CENTRALIA, WA 98531
Lewis County (360) 330-2023
DR. JOSHUA D BLUME D.C.
Chiropractor
1611 KRESKY AVE, SUITE 108
CENTRALIA, WA 98531
Lewis County (360) 330-1800
FLOYD D SMITH, MD, INTERNAL MEDICINE, PS
Clinic/Center (Medical Specialty)
1611 KRESKY AVE, SUITE 112
CENTRALIA, WA 98531
Lewis County (360) 330-2023

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 Kids Dental Of Centralia, P.C.'s NPI number?

The NPI number for Kids Dental Of Centralia, P.C. is 1659796076. It was assigned to this organization in the NPPES registry on February 21, 2014.

Where is Kids Dental Of Centralia, P.C. located?

Kids Dental Of Centralia, P.C. is located at 1611 Kresky Ave, Centralia, WA 98531. The listed phone number is (360) 736-5437.

What is Kids Dental Of Centralia, P.C.'s specialty?

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

What insurance does Kids Dental Of Centralia, P.C. accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and UnitedHealthcare list Kids Dental Of Centralia, P.C. 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 Kids Dental Of Centralia, P.C. was last updated on February 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.