NPIMap

Organization Active NPI

Ace Dental PLLC

  • General Practice Dentistry
  • Richland, WA
National Provider Identifier
1609179357
Registry record updated Jan 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE00010616 Issued in WA
Legal business name
ACE DENTAL PLLC
Practice address
1950 Keene Rd BLDG C
Richland, WA 99352-7752
Phone
(509) 628-8882
NPI assigned
Dec 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2011

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

Authorized official

Name
Dr. Seth Edvalson, DDSNPI 1932344652
Title
Dentist
Phone
(509) 628-8882

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DE00010616 WA Primary

Addresses

Primary practice location

1950 Keene Rd BLDG C
Richland, WA 99352-7752

Mailing address

1950 Keene Rd BLDG C
Richland, WA 99352-7752
Phone (509) 628-8882

National Provider Directory

National Provider Directory

Locations

1950 Keene Rd
Bldg C
Richland, WA 99352
Phone (509) 628-8882

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1292544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295222400000",
    "number": "1609179357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 KEENE RD BLDG C",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993527752",
            "telephone_number": "509-628-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 KEENE RD BLDG C",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993527752",
            "telephone_number": "509-628-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-17",
        "last_updated": "2011-01-17",
        "status": "A",
        "authorized_official_last_name": "EDVALSON",
        "authorized_official_first_name": "SETH",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "509-628-8882",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00010616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2011; 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.