DR. DAVID C HADERLIE DDS NPI 1528296399

NPI Information

  • NPI: 1528296399
  • Provider Name: DR. DAVID C HADERLIE, DDS
  • Classification: Dentist - 1223E0200X
  • Specialization: Endodontics
  • Entity Type: Individual
  • Address: 605 S COOLIDGE ST
    MOSES LAKE, WA
    ZIP 98837
  • Phone: (509) 765-0674

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NPI Details

DR. David C Haderlie, DDS is an endodontics dentist in Moses Lake, 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. DR. David C Haderlie, DDS NPI is 1528296399. 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:

605 S COOLIDGE ST
MOSES LAKE, WA
ZIP 98837-873
Phone: (509) 765-0674

The enumeration date for this NPI number is 6/30/2009 and was last updated on 8/4/2022.

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
1122300000XDentistD4237IDAHONo
2122300000XDentistDE60720894WASHINGTONNo
31223E0200XDentistEndodontics60720894WASHINGTONNo
41223E0200XDentistEndodonticsDE60720894WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12016334MEDICAIDWASHINGTON

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: 3/30/2025

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