JOSH BROOKS PLLC NPI 1295928752

NPI Information

NPI: 1295928752
Provider Name: JOSH BROOKS, PLLC

Former Legal Business Name: COLUMBIA BASIN DENTURE CARE

Classification: Denturist - 122400000X
Entity Type: Organization
Address:
7233 W DESCHUTES AVE.
SUITE E
KENNEWICK, WA
ZIP 99336
Phone: (509) 586-4350
Get Directions

JOSH BROOKS, PLLC is a denturist in Kennewick, WA. The provider is a denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices. JOSH BROOKS, PLLC NPI is 1295928752. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Columbia Basin Denture Care.

The provider's business location address is:

7233 W DESCHUTES AVE.
SUITE E
KENNEWICK, WA
ZIP 99336
Phone: (509) 586-4350
Fax: (888) 656-9322

The provider's authorized official is Joshua Daniel Brooks .
The authorized official title is Sole Member and has the following contact phone number (509) 586-4350.

The enumeration date for this NPI number is 8/19/2007 and was last updated on 8/24/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	122300000X	Dentist				No
2	1223G0001X	Dentist	General Practice			No
3	124Q00000X	Dental Hygienist				No
4	126800000X	Dental Assistant				No
5	126900000X	Dental Laboratory Technician				No
6	122400000X	Denturist		DN00000391	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5047626	MEDICAID	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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