THE PROFESSIONAL DENTURE CENTER
NPI 1962916379
Dentist in Moses Lake, WA

Q: What is The Professional Denture Center's NPI number?

The NPI number for The Professional Denture Center is 1962916379. It was assigned to this organization in the NPPES registry on November 21, 2017. The provider was formerly known as Professional Denture Clinic.

Q: What is The Professional Denture Center's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since November 21, 2017

835 E COLONIAL AVE STE 103, MOSES LAKE, WA 98837(509) 707-0707 Get Directions Write a Review

NPPES record last updated: March 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2025, Dec 7, 2017, Nov 21, 2017 (3 updates tracked since 2017).

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About The Professional Denture Center NPPES

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

THE PROFESSIONAL DENTURE CENTER (NPI 1962916379), doing business as Professional Denture Clinic, is a healthcare organization registered as a dentist in Moses Lake, Washington and active in the NPI registry since November 2017. The organization maintains a secondary practice location in Wenatchee and lists Jonathan Munger Dickson, Doctor/owner, as its authorized official.

NPPES Registry Identity

NPI1962916379

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameTHE PROFESSIONAL DENTURE CENTER

Location Address835 E COLONIAL AVE STE 103Moses Lake, WA 98837-4617

Mailing Address835 E Colonial Ave Ste 103Moses Lake, WA 98837-4617 · (509) 707-0707

Phone(509) 707-0707

Organization SubpartNo

Authorized OfficialJonathan Munger DicksonDoctor/owner · (253) 230-8084

Enumeration DateNovember 21, 2017

Last NPPES UpdateMarch 17, 20253 updates tracked since enumeration

NPPES CertifiedMarch 17, 2025

✔ NPI 1962916379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in WA · 60292621

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Also ListedDenturistTaxonomy 122400000X · License 60772847 (WA)

835 E COLONIAL AVE STE 103, Moses Lake, WA 98837

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Other Names 1

Former Legal Business NameProfessional Denture Clinic

Secondary Practice Location 1

Location 1533 South Mission StWenatchee, WA 98801 · Phone (509) 664-7308 · Fax (509) 664-4068

Other Identifiers 1

Medicaid2059589WA

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

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

PROFESSIONAL DENTURES MOSES LAKE

Dentist

835 E COLONIAL AVE STE 103
MOSES LAKE, WA 98837

Grant County (509) 707-0707

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 The Professional Denture Center's NPI number?

The NPI number for The Professional Denture Center is 1962916379. It was assigned to this organization in the NPPES registry on November 21, 2017. The provider was formerly known as Professional Denture Clinic.

Where is The Professional Denture Center located?

The Professional Denture Center is located at 835 E Colonial Ave Ste 103, Moses Lake, WA 98837. The listed phone number is (509) 707-0707.

What is The Professional Denture Center's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for The Professional Denture Center was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.