Downtown Dental on 4TH LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10788 Issued in WA

Legal business name

DOWNTOWN DENTAL ON 4TH LLC

Practice address

1320 N 4TH Ave Ste a
Pasco, WA 99301-3711

Phone

(509) 540-0347

NPI assigned

Dec 2, 2014

Organization subpart

No

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

Authorized official

Name

Landry Brown

Title

Member

Phone

(509) 540-0347

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Nancy A Shelton, DDS

  • General Practice Dentistry
  • Pasco, WA
  • NPI 1316164304
  NPD (past)

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

{
    "created_epoch": "1417478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417478400000",
    "number": "1700283058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 SE 8TH ST",
            "city": "COLLEGE PLACE",
            "state": "WA",
            "postal_code": "993241646",
            "telephone_number": "509-540-0347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 N 4TH AVE STE A",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993013711",
            "telephone_number": "509-540-0347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNTOWN DENTAL ON 4TH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-02",
        "last_updated": "2014-12-02",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "LANDRY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "509-540-0347"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "10788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moises Dominguez, CHW
• Donald G. Dicken, MD, PC
• Haley Donovan
• Miguel Dorta, MD
• Angie Dover
• Donna Doyle, RPH
• Dr Drywahl PLLC
• Dr L Brendt Park Inc
• Dr Mileski DDS IV PLLC
• Dr Spencer E Greer DDS PLLC

• General Practice Dentistry in Pasco, WA
• Providers in Pasco, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2014; 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.