DR. AMANDA LUCILE KRESTOS DMD NPI 1376825505

NPI Information

  • NPI: 1376825505
  • Provider Name: DR. AMANDA LUCILE KRESTOS, DMD
  • Classification: Dentist - 122300000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 31775 STATE ROUTE 20 STE A3
    OAK HARBOR, WA
    ZIP 98277
  • Phone: (360) 679-9216

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NPI Details

DR. Amanda Lucile Krestos, DMD is a dentist in Oak Harbor, WA. The provider is a dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. DR. Amanda Lucile Krestos, DMD NPI is 1376825505. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

31775 STATE ROUTE 20 STE A3
OAK HARBOR, WA
ZIP 98277-104
Phone: (360) 679-9216
Fax: (360) 679-9239

The NPI 1376825505 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 9/14/2011 and was last updated on 2/21/2025.

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
1122300000XDentist25534FLORIDANo
21223G0001XDentistGeneral PracticeD9617OREGONNo
31223G0001XDentistGeneral PracticeDDS101470CALIFORNIANo
41223G0001XDentistGeneral PracticeDE61483486WASHINGTONNo
5122300000XDentistDE61483486WASHINGTONYes

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: 11/21/2025

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