MOUNTAIN SMILES - LONGVIEW DENTAL PLLC NPI 1528867108

NPI Information

  • NPI: 1528867108
  • Provider Name: MOUNTAIN SMILES - LONGVIEW DENTAL, PLLC
  • Classification: Dentist - 122300000X
  • Entity Type: Organization
  • Address: 900 FIR ST STE 1D
    LONGVIEW, WA
    ZIP 98632
  • Phone: (360) 261-6094

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NPI Details

MOUNTAIN SMILES - LONGVIEW DENTAL, PLLC is a dentist in Longview, 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. MOUNTAIN SMILES - LONGVIEW DENTAL, PLLC NPI is 1528867108. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

900 FIR ST STE 1D
LONGVIEW, WA
ZIP 98632-544
Phone: (360) 261-6094
Fax: (360) 577-0566

The provider's authorized official is Angel Gimenez .
The authorized official title is Credentialing Senior Manager and has the following contact phone number (719) 300-5933.

The enumeration date for this NPI number is 3/7/2025 and was last updated on 3/7/2025.

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
1122300000XDentistYes
21223D0004XDentistDentist AnesthesiologistNo
31223E0200XDentistEndodonticsNo
41223G0001XDentistGeneral PracticeNo
51223P0106XDentistOral and Maxillofacial PathologyNo
61223P0300XDentistPeriodonticsNo
71223P0700XDentistProsthodonticsNo
81223X0400XDentistOrthodontics and Dentofacial OrthopedicsNo
9122400000XDenturistNo
10124Q00000XDental HygienistNo
11126800000XDental AssistantNo

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

NPI Synchronization or Removal

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