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RJ HENNEBERG, PLLC
NPI 1700490356
Dentist - General Practice in Moses Lake, WA

Active since September 01, 2020
417 E BROADWAY AVE STE 103, MOSES LAKE, WA 98837(509) 766-5015(509) 855-9070 Get Directions Write a Review

NPPES record last updated: September 1, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rj Henneberg, Pllc NPPES

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

RJ HENNEBERG, PLLC (NPI 1700490356), doing business as Sunrise Dental Of Moses Lake, is a healthcare organization registered as a general practice in Moses Lake, Washington and active in the NPI registry since September 2020. The organization lists Kasha Rapp, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1700490356
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameRJ HENNEBERG, PLLC
Location Address417 E BROADWAY AVE STE 103Moses Lake, WA 98837-3081
Mailing Address417 E Broadway Ave Ste 103Moses Lake, WA 98837-3081 · (509) 766-5015 · Fax (509) 855-9070
Phone(509) 766-5015
Fax(509) 855-9070
Organization SubpartNo
Authorized OfficialKasha RappDirector Of Operations · (509) 765-0150
Enumeration DateSeptember 1, 2020
NPPES CertifiedSeptember 1, 2020
✔ NPI 1700490356 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.
417 E BROADWAY AVE STE 103, Moses Lake, WA 98837
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Other Names 1

Doing Business AsSunrise Dental Of Moses Lake

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.

DR. NICHOLAS HAMPTON SMITH DDS
Dentist (General Practice)
417 E BROADWAY AVE STE 103
MOSES LAKE, WA 98837
Grant County (509) 765-0150

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 Rj Henneberg, PLLC's NPI number?

The NPI number for Rj Henneberg, PLLC is 1700490356. It was assigned to this organization in the NPPES registry on September 1, 2020. The provider is doing business as Sunrise Dental of Moses Lake.

Where is Rj Henneberg, PLLC located?

Rj Henneberg, PLLC is located at 417 E Broadway Ave Ste 103, Moses Lake, WA 98837. The listed phone number is (509) 766-5015.

What is Rj Henneberg, PLLC'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 Rj Henneberg, PLLC was last updated on September 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.