Kristine Melissa Aadland, DMD
Individual provider Active NPI Dentist · Vancouver, WA
NPI 1427070549 · NPPES record last updated Nov 11, 2009
Key facts
- NPI
- 1427070549
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DE00010621 (WA)
- Practice address
- 2403 E Evergreen Blvd
Vancouver, WA 98661 - Phone
- (360) 573-6047
- Fax
- (360) 547-6540
- NPI assigned
- Jul 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE00010621 | WA | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DE00010621 | WA | Yes |
Addresses
Primary practice location
2403 E Evergreen Blvd
Vancouver, WA 98661
Mailing address
2403 E Evergreen Blvd
Vancouver, WA 98661
Phone (360) 573-6047
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 11, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.