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Active NPI 1538391040 Individual Practitioner Male Practitioner

Dr. Brenden J Davis , DMD, MPH

Dentist • Kennewick, WA

Professional Overview & Biography Verified Profile Summary

Dr. Brenden Davis, DMD, MPH is a registered healthcare professional specializing in Dentist in Kennewick, WA. Practice services are available at 910 S COLUMBIA CENTER BLVD STE D under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

910 S Columbia Center Blvd Ste D

Kennewick, WA 993369560

Telephone 5096071872
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Kennewick, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.1 Yrs
Regional Practice Density
42 Specialists

Practicing in Kennewick, WA (2853 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

CMS Verified: 2022-08-04
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License WA DE60103956

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License WA DE60103956

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

Medicaid State Provider ID
5060215 (WA)
Commercial Insurance / Payer ID Labor & Industries
0255549 (WA)

Secondary Practice Locations

1206 N Dolarway Rd Ste 208

Ellensburg, WA 98926

Phone: 5099257600

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location August 04, 2022

Registered at 910 S COLUMBIA CENTER BLVD STE D, KENNEWICK, WA 993369560 (Tel: 5096071872)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 04, 2022

Dentist (License #DE60103956 in WA)

📍
Updated Practice Location August 22, 2018

Registered at 1206 N DOLARWAY RD STE 208, ELLENSBURG, WA 98926 (Tel: 5099257600)

NPI Profile Active August 22, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 22, 2016

Registered at 1206 N DOLARWAY RD STE 208, ELLENSBURG, WA 989268392 (Tel: 5099257600)

📍
Updated Business Mailing Address August 22, 2016

Registered at 1206 N DOLARWAY RD STE 208, ELLENSBURG, WA 989268392 (Tel: 5099257600)

👤
Provider Name / Credentials Updated August 22, 2016

Recorded as BRENDEN DAVIS, DMD, MPH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 22, 2016

Dentist (License #DE60103956 in WA)

🟢
Initial NPI Registration & Enumeration August 17, 2009

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: 1538391040
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 17, 2009
Last Update: August 04, 2022
Sole Proprietor: Yes

Mailing Address

1206 N Dolarway Rd Ste 208

Ellensburg, WA 989268392

Phone: 5099257600

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.