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Active NPI 1043331184 Individual Practitioner Male Practitioner

Dr. Richard R Imholte , DDS

Dentist - General Practice • Kelso, WA

Professional Overview & Biography Verified Profile Summary

Dr. Richard Imholte, DDS is a registered healthcare professional specializing in Dentist - General Practice in Kelso, WA. Practice services are available at 409 W MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

409 W Main St
Twin City Dental

Kelso, WA 986261117

Telephone 3605771153
Fax 3604251540
Associated Practice Facility / Clinic
🏢 Anderson & Brault, Pllc Facility NPI 1811495211

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Kelso, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
5 Specialists

Practicing in Kelso, WA (3345 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 - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WA 4754

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Wa State D.s.h.s.
5500905 (WA)

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Michele Anderson , DDS

Dentist - General Practice

NPI 1740301878

Doctor of Dental Surgery

Allison Brault

Dentist - General Practice

NPI 1760897037

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 409 W MAIN ST, TWIN CITY DENTAL, KELSO, WA 986261117 (Tel: 3605771153)

📍
Updated Business Mailing Address July 08, 2007

Registered at 409 W MAIN ST, TWIN CITY DENTAL, KELSO, WA 986261117 (Tel: 3605771153)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as RICHARD IMHOLTE, D.D.S.

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

Dentist (License #4754 in WA)

🟢
Initial NPI Registration & Enumeration April 03, 2007

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: 1043331184
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 03, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

409 W Main St, Twin City Dental

Kelso, WA 986261117

Phone: 3605771153

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.