Eugene Benjamin Pester, DDS

Primary specialty

Dental AnesthesiologyTaxonomy code 1223D0004X

License

GA10000334 Issued in WA

Practice address

317 S Ash St
Moses Lake, WA 98837-1948

Phone

(509) 764-5399

Fax

(509) 765-4757

NPI assigned

Apr 24, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Apex Dental Partners LLC

  • General Practice Dentistry
  • Spokane Valley, WA
  • NPI 1255045514
  NPD Authorized official
• Smith Pester PLLC

  • Dental Clinic/Center
  • Moses Lake, WA
  • NPI 1992512115
  NPD Authorized official
• Eugene Pester DDS & Associates

  • General Practice Dentistry
  • Moses Lake, WA
  • NPI 1235346057
  NPD (past) Authorized official

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455148800000",
    "number": "1659590206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 S ASH ST",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988371948",
            "telephone_number": "509-764-5399",
            "fax_number": "509-765-4757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 S ASH ST",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988371948",
            "telephone_number": "509-764-5399",
            "fax_number": "509-765-4757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PESTER",
        "first_name": "EUGENE",
        "middle_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2016-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00007758",
            "primary": false
        },
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "WA",
            "license": "GA10000334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5024930",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Juan Peralez, MED
• Karissa Peralez, BS
• Ismael Eliah Perez
• Paige Perkins
• Sangeeta Anjali Persad, MD
• Chase Petersen, DMD
• Trey Spencer Petersen, PA-C
• Anna Marie Peterson
• Rebecca Peterson
• Khiem Pham

• Dental Anesthesiology in Moses Lake, WA
• Providers in Moses Lake, WA by specialty
• Dental Anesthesiology in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2016; 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.