DR. MICHELLE AGNES BOOTH DDS NPI 1578295242

NPI Information

  • NPI: 1578295242
  • Provider Name: DR. MICHELLE AGNES BOOTH, DDS
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6817 N CEDAR RD STE 202
    SPOKANE, WA
    ZIP 99208
  • Phone: (509) 283-7914

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NPI Details

DR. Michelle Agnes Booth, DDS is a general practice dentist in Spokane, WA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Michelle Agnes Booth, DDS NPI is 1578295242. 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:

6817 N CEDAR RD STE 202
SPOKANE, WA
ZIP 99208-277
Phone: (509) 283-7914

The NPI 1578295242 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 6/30/2022 and was last updated on 9/30/2025.

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
11223G0001XDentistGeneral Practice62228KANSASYes
21223G0001XDentistGeneral PracticeDE61621671WASHINGTONNo
31223G0001XDentistGeneral PracticeDN27362FLORIDANo

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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