DENTAL PROFESSIONALS OF WASHINGTON, QUIRT, MONGRAIN, GIBREE, PC
NPI 1710763784
Dentist - General Practice in Tacoma, WA

Q: 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.

Active since September 06, 2023

17513 CANYON PKWY E STE 103, TACOMA, WA 98446(253) 330-8960(253) 330-8938 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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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 1710763784), doing business as Clover Creek Dental Care, is a healthcare organization registered as a general practice in Tacoma, Washington and active in the NPI registry since September 2023. The organization lists Belinda Huerta, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1710763784

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameDENTAL PROFESSIONALS OF WASHINGTON, QUIRT, MONGRAIN, GIBREE, PC

Location Address17513 CANYON PKWY E STE 103Tacoma, WA 98446-7500

Mailing Address17513 Canyon Pkwy E Ste 103Tacoma, WA 98446-7500 · (253) 330-8960 · Fax (253) 330-8938

Phone(253) 330-8960

Fax(253) 330-8938

Organization SubpartYes

Authorized OfficialBelinda HuertaCredentialing Coordinator · (217) 540-2100

Enumeration DateSeptember 6, 2023

NPPES CertifiedSeptember 6, 2023

✔ NPI 1710763784 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.

17513 CANYON PKWY E STE 103, Tacoma, WA 98446

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Other Names 1

Doing Business AsClover Creek Dental Care

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 ›

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 1710763784. It was assigned to this organization in the NPPES registry on September 6, 2023. The provider is doing business as Clover Creek Dental Care.

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

Dental Professionals Of Washington, Quirt, Mongrain, Gibree, PC is located at 17513 Canyon Pkwy E Ste 103, Tacoma, WA 98446. The listed phone number is (253) 330-8960.

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 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.