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ADVANCED PEDIATRIC DENTISTRY OF WALLA WALLA
NPI 1740630342
Dentist - Pediatric Dentistry in Walla Walla, WA

Active since June 15, 2016
107 E CHERRY ST, WALLA WALLA, WA 99362(509) 525-7336 Get Directions Write a Review

NPPES record last updated: August 19, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 19, 2020, Oct 7, 2019, Jun 15, 2016 (3 updates tracked since 2016).

About Advanced Pediatric Dentistry Of Walla Walla NPPES

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

ADVANCED PEDIATRIC DENTISTRY OF WALLA WALLA (NPI 1740630342) is a healthcare organization registered as a pediatric dentistry in Walla Walla, Washington and active in the NPI registry since June 2016. The organization lists Mellissa Renner, Regional Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1740630342
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameHOUSE, LEE, MAST, MCDONALD AND NELSON, PC
Location Address107 E CHERRY STWalla Walla, WA 99362-1912
Mailing Address107 E Cherry StWalla Walla, WA 99362-1912 · (509) 525-7336
Phone(509) 525-7336
Organization SubpartNo
Authorized OfficialMellissa RennerRegional Operations Manager · (541) 667-4145
Enumeration DateJune 15, 2016
Last NPPES UpdateAugust 19, 20203 updates tracked since enumeration
NPPES CertifiedAugust 19, 2020
✔ NPI 1740630342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in WA · DE60203055
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
107 E CHERRY ST, Walla Walla, WA 99362
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Other Names 2

Doing Business AsAdvanced Pediatric Dentistry Of Walla Walla
Doing Business AsCraik Pediatric Dentistry

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 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 House, Lee, Mast, Mcdonald And Nelson, PC's NPI number?

The NPI number for House, Lee, Mast, Mcdonald And Nelson, PC is 1740630342. It was assigned to this organization in the NPPES registry on June 15, 2016. The provider is doing business as Advanced Pediatric Dentistry Of Walla Walla and Craik Pediatric Dentistry.

Where is House, Lee, Mast, Mcdonald And Nelson, PC located?

House, Lee, Mast, Mcdonald And Nelson, PC is located at 107 E Cherry St, Walla Walla, WA 99362. The listed phone number is (509) 525-7336.

What is House, Lee, Mast, Mcdonald And Nelson, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does House, Lee, Mast, Mcdonald And Nelson, PC accept?

Health plans from UnitedHealthcare list House, Lee, Mast, Mcdonald And Nelson, 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 House, Lee, Mast, Mcdonald And Nelson, PC was last updated on August 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.