JUSTIN WAYNE FILLMORE DDS NPI 1053651893

NPI Information

NPI: 1053651893
Provider Name: JUSTIN WAYNE FILLMORE, DDS
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

Address:
2205 W LINCOLN AVE
YAKIMA, WA
ZIP 98902
Phone: (509) 575-3399
Get Directions

Justin Wayne Fillmore, DDS is a pediatric dentistry dentist in Yakima, WA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. Justin Wayne Fillmore, DDS NPI is 1053651893. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2205 W LINCOLN AVE
YAKIMA, WA
ZIP 98902-437
Phone: (509) 575-3399

The enumeration date for this NPI number is 2/14/2013 and was last updated on 2/14/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0221X	Dentist	Pediatric Dentistry	60299331	WASHINGTON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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