Walla Walla Pediatric Dentistry is a Pediatric Dental Clinic in Walla Walla, Washington. It is located at 614 E Alder St, Suite 6, Walla Walla, WA and its contact number is 509-522-0555. The authorized person for Walla Walla Pediatric Dentistry is Dr. Stacey Rae Kutsch
who is Owner Pediatric Dentist of the clinic and their contact number is 509-378-2520. Other organizations associated with this clinic are Stacey Kutsch, D.d.s., M.s., Pllc, Donald C. Bassham D.d.s. P.s., Herbert C Edwards, Dds, Pllc, The primary license number for Walla Walla Pediatric Dentistry is DE00010428 (Pediatric Dentistry) in Washington. Walla Walla Pediatric Dentistry Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Walla Walla Pediatric Dentistry Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Walla Walla Pediatric Dentistry
Specialization:
Pediatric Dentistry
Clinic Address:
614 E Alder St, Suite 6, Walla Walla, Washington, 99362-2073
Phone:
509-522-0555
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Stacey Rae Kutsch
Position:
Owner Pediatric Dentist
Contact Number:
509-378-2520
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Walla Walla Pediatric Dentistry clinic are as mentioned below.
NPI Number:
1629491766
NPI Enumeration Date:
25 Jan, 2014
NPI Last Update On:
07 Mar, 2023
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
Name
Specialization
NPI Number
Stacey Kutsch, D.d.s., M.s., Pllc
Pediatric Dentistry
1629491766
Donald C. Bassham D.d.s. P.s.
General Practice Dentistry
1922258961
Herbert C Edwards, Dds, Pllc
General Practice Dentistry
1972940294
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Walla Walla Pediatric Dentistry are as mentioned below.
Specialization
License Number
State
Status
Pediatric Dentistry
DE00010428
Washington
Primary
Dental
DE00010428
Washington
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
CS10000430
Other
Washington
Conscious Sedation Permit
5050265
Medicaid
Washington
DE00010428
Other
Washington
Dental License
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Walla Walla Pediatric Dentistry 614 E Alder St, Suite 6 Walla Walla, Washington
Zip:
99362-2073
Phone Number:
509-522-0555
Patients can reach Walla Walla Pediatric Dentistry at 614 E Alder St, Suite 6, Walla Walla, Washington or can call to book an appointment on 509-522-0555. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.