DR. EUGENE BENJAMIN PESTER DDS NPI 1659590206

NPI Information

NPI: 1659590206
Provider Name: DR. EUGENE BENJAMIN PESTER, DDS
Classification: Dentist - 1223D0004X
Entity Type: Individual

Specialization: Dentist Anesthesiologist

Address:
317 S ASH ST
MOSES LAKE, WA
ZIP 98837
Phone: (509) 764-5399
Get Directions

DR. Eugene Benjamin Pester, DDS is a dentist anesthesiologist dentist in Moses Lake, WA. The provider is a dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology. DR. Eugene Benjamin Pester, DDS NPI is 1659590206. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

317 S ASH ST
MOSES LAKE, WA
ZIP 98837-948
Phone: (509) 764-5399
Fax: (509) 765-4757

The enumeration date for this NPI number is 4/24/2007 and was last updated on 2/11/2016.

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	1223G0001X	Dentist	General Practice	DE00007758	WASHINGTON	No
2	1223D0004X	Dentist	Dentist Anesthesiologist	GA10000334	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	5024930	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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