Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1649336470 Individual Practitioner Female Practitioner

Dr. Lee Wardle Hermen , DDS

Dentist - General Practice • Longview, WA

Professional Overview & Biography Verified Profile Summary

Dr. Lee Hermen, DDS is a registered healthcare professional specializing in Dentist - General Practice in Longview, WA. Practice services are available at 1057 12TH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1057 12th Ave

Longview, WA 986322509

Telephone 3604141300
Associated Practice Facility / Clinic
🏢 Cowlitz Family Health Center Facility NPI 1891724506

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Longview, WA

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

Practicing in Longview, 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

CMS Verified: 2025-05-06
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WA DE60013005

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
1092355 (WA)

Secondary Practice Locations

1251 Lewis River Rd Ste D

Woodland, WA 986749203

Phone: 3607036401

Practice Associates & Co-Workers

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

7 Associated Practitioners
NPI 1073079984

DENTALHYGIENIST

Dr. Justin Tan , DDS

Dentist - General Practice

NPI 1235536475

Doctor of Dental Surgery

Dr. Serena Xu , DDS

Dentist - General Practice

NPI 1356107288

Doctor of Dental Surgery

Dr. Roxane Oshiro , DDS

Dentist - General Practice

NPI 1396781936

Doctor of Dental Surgery

Dr. Michael Suk , DDS

Dentist - General Practice

NPI 1528824117

Doctor of Dental Surgery

Dr. Ariel Park , DMD

Dentist - General Practice

NPI 1619524857

Doctor of Dental Medicine

Career & Practice History Timeline

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

8 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 04, 2025

Dentist (License #DE60013005 in WA)

👤
Provider Name / Credentials Updated October 03, 2018

Recorded as LEE HERMEN, DDS

NPI Profile Active November 23, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location November 23, 2011

Registered at 1057 12TH AVE, LONGVIEW, WA 986322509 (Tel: 3604141300)

📍
Updated Business Mailing Address November 23, 2011

Registered at 1057 12TH AVE, LONGVIEW, WA 986322509 (Tel: 3604141300)

👤
Provider Name / Credentials Updated November 23, 2011

Recorded as LEE WARDLE, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 23, 2011

Dentist (License #DE 60013005 in WA)

🟢
Initial NPI Registration & Enumeration December 28, 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: 1649336470
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 28, 2006
Last Update: May 06, 2025
Sole Proprietor: No

Mailing Address

1057 12th Ave

Longview, WA 986322509

Phone: 3604141300

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.