Provider Demographics
NPI:1043332745
Name:ASH & ROBERTS DDS PLLC
Entity Type:Organization
Organization Name:ASH & ROBERTS DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:LOWELL
Authorized Official - Last Name:ASH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:360-736-8380
Mailing Address - Street 1:PO BOX 1660
Mailing Address - Street 2:2409 BORST AVE
Mailing Address - City:CENTRALIA
Mailing Address - State:WA
Mailing Address - Zip Code:98531
Mailing Address - Country:US
Mailing Address - Phone:360-736-8380
Mailing Address - Fax:360-736-2192
Practice Address - Street 1:2409 BORST AVE
Practice Address - Street 2:
Practice Address - City:CENTRALIA
Practice Address - State:WA
Practice Address - Zip Code:98531
Practice Address - Country:US
Practice Address - Phone:360-736-8380
Practice Address - Fax:360-736-2192
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA51511223G0001X
WA81921223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
606932OtherUNITED CONCORDIA
5038930OtherDSHS