Provider Demographics
NPI:1952420309
Name:CARING DENTAL NORTHWEST, P.C.
Entity Type:Organization
Organization Name:CARING DENTAL NORTHWEST, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:E
Authorized Official - Last Name:MOUNCE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:360-891-9111
Mailing Address - Street 1:12503 SE MILL PLAIN BLVD
Mailing Address - Street 2:SUITE 215
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98684-4009
Mailing Address - Country:US
Mailing Address - Phone:360-891-9111
Mailing Address - Fax:360-891-9119
Practice Address - Street 1:12503 SE MILL PLAIN BLVD
Practice Address - Street 2:SUITE 215
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98684-4009
Practice Address - Country:US
Practice Address - Phone:360-891-9111
Practice Address - Fax:360-891-9119
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA94521223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty