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MOUNTAIN LAKE DENTURE SERVICES, PLLC
NPI 1962715805
Denturist in Prosser, WA

Active since July 21, 2010
1225 MEADE AVE, PROSSER, WA 99350(509) 786-2963(888) 656-9322 Get Directions Write a Review

NPPES record last updated: July 21, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mountain Lake Denture Services, Pllc NPPES

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

MOUNTAIN LAKE DENTURE SERVICES, PLLC (NPI 1962715805) is a healthcare organization registered as a denturist in Prosser, Washington and active in the NPI registry since July 2010. The organization lists Joshua D Brooks, Member, as its authorized official.

NPPES Registry Identity

NPI1962715805
Entity TypeOrganization
Primary Taxonomy122400000X
Legal Business NameMOUNTAIN LAKE DENTURE SERVICES, PLLC
Location Address1225 MEADE AVEProsser, WA 99350-1423
Mailing Address1225 Meade AveProsser, WA 99350-1423 · (509) 786-2963 · Fax (888) 656-9322
Phone(509) 786-2963
Fax(888) 656-9322
Organization SubpartNo
Authorized OfficialJoshua D BrooksMember · (509) 303-9090
Enumeration DateJuly 21, 2010
✔ NPI 1962715805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDenturistDental Providers
Taxonomy Code122400000X
Definition
A denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices.
1225 MEADE AVE, Prosser, WA 99350
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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

Other Providers at the Same Location NPPES 3

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

MR. MICHAEL D. ANKERMILLER LICENSED DENTURIST
Denturist
1225 MEADE AVE
PROSSER, WA 99350
Benton County (509) 308-1073
RYAN D JOHNSON
Denturist
1225 MEADE AVE
PROSSER, WA 99350
Benton County (509) 307-3217
BROOKS & BROOKS
Denturist
1225 MEADE AVE
PROSSER, WA 99350
Benton County (509) 786-2963

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 Mountain Lake Denture Services, PLLC's NPI number?

The NPI number for Mountain Lake Denture Services, PLLC is 1962715805. It was assigned to this organization in the NPPES registry on July 21, 2010.

Where is Mountain Lake Denture Services, PLLC located?

Mountain Lake Denture Services, PLLC is located at 1225 Meade Ave, Prosser, WA 99350. The listed phone number is (509) 786-2963.

What is Mountain Lake Denture Services, PLLC's specialty?

The primary specialty registered for this NPI is Denturist with taxonomy code 122400000X.

When was this NPI record last updated?

The NPPES record for Mountain Lake Denture Services, PLLC was last updated on July 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.