Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1407939556 Individual Practitioner Male Practitioner

Dr. Bart C Tirrell , DDS, MSD, PS

Dentist - Endodontics • Centralia, WA

Professional Overview & Biography Verified Profile Summary

Dr. Bart Tirrell, DDS, MSD, PS is a registered healthcare professional specializing in Dentist - Endodontics in Centralia, WA. Practice services are available at 1611 KRESKY AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1611 Kresky Ave
Suite 110

Centralia, WA 985318982

Telephone 3608070703
Fax 3603302281
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Endodontics in Centralia, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Centralia, WA (228 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - Endodontics Primary Specialty

NUCC Taxonomy Code: 1223E0200X

State License WA 8514

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Labor & Industries
0173438 (WA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Dr. Michelle Wilson , DDS

Dentist - General Practice

NPI 1104026483

Doctor of Dental Surgery

Dr. Christian Wilson , DDS

Dentist - General Practice

NPI 1104080910

Doctor of Dental Surgery

Dr. Floyd Smith , MD

Internal Medicine

NPI 1437218211

Doctor of Medicine (M.D.)

NPI 1528236577

Doctor of Chiropractic

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1611 KRESKY AVE, SUITE 110, CENTRALIA, WA 985318982 (Tel: 3608070703)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1611 KRESKY AVE, SUITE 110, CENTRALIA, WA 985318982 (Tel: 3608070703)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as BART TIRRELL, D.D.S., M.S.D., P.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #8514 in WA)

🟢
Initial NPI Registration & Enumeration October 23, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1407939556
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 23, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

1611 Kresky Ave, Suite 110

Centralia, WA 985318982

Phone: 3608070703

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.