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NPI 1851630685ActiveOrganization· Dentist, Prosthodontics· Edmonds, WA

Dentist, Prosthodontics in Edmonds, Washington, registered in NPPES in February 2013. The authorized official on file is Brenda L. Heckathorn, Office Manager.

Overview

NPI1851630685
StatusActive
Entity typeOrganization
NPI issuedFeb 14, 2013
Last updated in NPPESFeb 14, 2013

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, Prosthodontics Primary1223P0700X00006629WA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Dentist, Prosthodontics providers in Edmonds

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