Provider Type Icon

COLUMBIA ENDODONTIC GROUP P.S. NPI 1174617724


NPI Information

NPI: 1174617724
Provider Name: COLUMBIA ENDODONTIC GROUP, P.S.

Former Legal Business Name: ARDON L. OVERBY, DMD AND DAVID S. MEHLHAFF, DMD

Classification: Dentist - 1223E0200X
Entity Type: Organization

Specialization: Endodontics

Address:
5015 NE ST. JOHNS ROAD
VANCOUVER, WA
ZIP 98661
Phone: (360) 699-1101
Get Directions

COLUMBIA ENDODONTIC GROUP, P.S. is an endodontics dentist in Vancouver, WA. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. COLUMBIA ENDODONTIC GROUP, P.S. NPI is 1174617724. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Ardon L. Overby, Dmd And David S. Mehlhaff, Dmd.

The provider's business location address is:

5015 NE ST. JOHNS ROAD
VANCOUVER, WA
ZIP 98661
Phone: (360) 699-1101
Fax: (360) 695-3152

The provider's authorized official is David Akio Kosa .
The authorized official title is Treasurer and has the following contact phone number (360) 699-1101.

The enumeration date for this NPI number is 10/3/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223E0200XDentistEndodonticsYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.