Quirt, Gibree, Mongrain, P.C.
Organization Active NPI General Practice Dentistry · Millwood, WA
NPI 1891451985 · NPPES record last updated Nov 12, 2021
Key facts
- NPI
- 1891451985
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- QUIRT, GIBREE, MONGRAIN, P.C.
- Practice address
- 3018 N Argonne Rd
Millwood, WA 99212-2179 - Phone
- (509) 928-5444
- NPI assigned
- Nov 12, 2021
- Organization subpart
- Yes
- Parent organization (as reported)
- HEARTLAND DENTAL
Authorized official
- Name
- Hillary Thull
- Title
- Credentialing Coordinator
- Phone
- (217) 540-8946
Practitioners 2
-
Mark A Jensen, D.M.D.
National Provider Directory
- Part of
- Quirt Gibree Mongrain PC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | Yes |
Addresses
Primary practice location
3018 N Argonne Rd
Millwood, WA 99212-2179
Mailing address
3018 N Argonne Rd
Millwood, WA 99212-2179
Other names
- Millwood Family Dental
Other providers in Millwood, WA
- Kodiak Healthcare
- Ryan Nicole Leinen
- Jesse Lee Luhman
- Samantha Nichole Magby
- Autumn Payne
- Walgreen Co
- Betty J White
All providers in Millwood, WA · General Practice Dentistry in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2021. 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.