Wenatchee Wisdom Teeth PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

WENATCHEE WISDOM TEETH PLLC

Practice address

211 N Whitman Way
Wenatchee, WA 98801-2192

Phone

(509) 888-8088

NPI assigned

Mar 5, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Ricardo Alfonso Colunga

Title

Business Director

Phone

(509) 885-5703

Specialties & licenses 1

Addresses

Other names 1

• Wenatchee Wisdom Teeth Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1741132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742515200000",
    "number": "1104624170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 N WHITMAN WAY",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012192",
            "telephone_number": "509-888-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 N WHITMAN WAY",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012192",
            "telephone_number": "509-888-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WENATCHEE WISDOM TEETH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-05",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A",
        "authorized_official_last_name": "COLUNGA",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_middle_name": "ALFONSO",
        "authorized_official_title_or_position": "BUSINESS DIRECTOR",
        "authorized_official_telephone_number": "509-885-5703",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wenatchee Wisdom Teeth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wenatchee Valley Hospital
• Wenatchee Valley Hospital
• Wenatchee Valley Hospital
• Wenatchee Valley Hospital
• Wenatchee Valley Oral and Facial Surgery
• Patrick J Wendt, MD
• Alexander Wentland, SUDPT
• Sol Roger Wertkin, RN
• Shawn Wertman
• Albert Wertz, D.O.

• Dentist in Wenatchee, WA
• Providers in Wenatchee, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.