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ODESSA DENTAL CLINIC
NPI 1871548925
Dentist - General Practice in Odessa, WA

Active since May 24, 2006
20 W 1ST, ODESSA, WA 99159(509) 982-2605(509) 982-9951 Get Directions Write a Review

NPPES record last updated: November 2, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Odessa Dental Clinic NPPES

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

ODESSA DENTAL CLINIC (NPI 1871548925) is a healthcare organization registered as a general practice in Odessa, Washington and active in the NPI registry since May 2006. The organization lists Michael P Condon, Owner, as its authorized official.

NPPES Registry Identity

NPI1871548925
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCONDON DENTAL SERVICES
Location Address20 W 1STOdessa, WA 99159-0459
Mailing AddressPo Box 429, 20 W FirstOdessa, WA 99159-0429 · (509) 982-2605 · Fax (509) 982-9951
Phone(509) 982-2605
Fax(509) 982-9951
Organization SubpartYesParent: Condon Dental Services, Ps
Authorized OfficialMichael P CondonOwner · (509) 982-2605
Enumeration DateMay 24, 2006
Last NPPES UpdateNovember 2, 2012
✔ NPI 1871548925 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 · 8440
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.
20 W 1ST, Odessa, WA 99159
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Other Names 1

Doing Business AsOdessa Dental Clinic

Other Identifiers 1

Medicaid5054358WA

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 MULTIPLE SINGLE SPECIALTY GROUP

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 Condon Dental Services's NPI number?

The NPI number for Condon Dental Services is 1871548925. It was assigned to this organization in the NPPES registry on May 24, 2006. The provider is doing business as Odessa Dental Clinic.

Where is Condon Dental Services located?

Condon Dental Services is located at 20 W 1st, Odessa, WA 99159. The listed phone number is (509) 982-2605.

What is Condon Dental Services'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 Condon Dental Services was last updated on November 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.