Provider Demographics
NPI:1528573870
Name:CHRISTOPHER B BESSEY, DDS, PLLC
Entity Type:Organization
Organization Name:CHRISTOPHER B BESSEY, DDS, PLLC
Other - Org Name:BESSEY DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:BRETT
Authorized Official - Last Name:BESSEY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:360-949-5171
Mailing Address - Street 1:12116 SE MILL PLAIN BLVD STE 3
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98684-6000
Mailing Address - Country:US
Mailing Address - Phone:360-256-8200
Mailing Address - Fax:360-256-9356
Practice Address - Street 1:12116 SE MILL PLAIN BLVD STE 3
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98684-6000
Practice Address - Country:US
Practice Address - Phone:360-256-8200
Practice Address - Fax:360-256-9356
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-08
Last Update Date:2017-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE60754754261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1891215034OtherCHRISTOPHER BESSEY