Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114385044 Individual Practitioner Female Practitioner

Nichole Barton Tomblin

Dentist • Mattawa, WA

Professional Overview & Biography Verified Profile Summary

Nichole Barton Tomblin is a registered healthcare professional specializing in Dentist in Mattawa, WA. Practice services are available at 210 GOVERNMENT RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

210 Government Rd

Mattawa, WA 993495116

Telephone 5099324499
Fax 0993253635
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Mattawa, WA

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

Practicing in Mattawa, 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: 2025-01-27
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License WA DE60708382

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2072503 (WA)

Secondary Practice Locations

1515 E Columbia St

Othello, WA 993441846

Phone: 5094885256

Practice Associates & Co-Workers

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

13 Associated Practitioners
Cheryl Mielbrecht , MS, PA-C

Physician Assistant

NPI 1124298336

Master of Science, Physician Assistant (Certified)

Jennifer Beaty , ARNP, RN

Nurse Practitioner - Family

NPI 1134337785

Advanced Registered Nurse Practitioner, Registered Nurse

Bryan Larson , DNP-PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1174177471

DNPPMHNP

Dr. Heather Balser , DNP, MSNED, FNP-C

Nurse Practitioner - Family

NPI 1184931420

Doctor of Nursing Practice, MSNED, Family Nurse Practitioner (Certified)

Josilyn Baugher , ARNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1285311951

Advanced Registered Nurse Practitioner

Dr. Daniel Sloane , DO

Family Medicine

NPI 1427003540

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location January 27, 2025

Registered at 210 GOVERNMENT RD, MATTAWA, WA 993495116 (Tel: 5099324499)

📍
Updated Business Mailing Address January 27, 2025

Registered at 210 GOVERNMENT RD, MATTAWA, WA 993495116 (Tel: 5099324499)

👤
Provider Name / Credentials Updated March 23, 2021

Recorded as NICHOLE BARTON TOMBLIN

📍
Updated Practice Location February 18, 2020

Registered at 1515 E COLUMBIA ST, DENTAL DEPARTMENT, OTHELLO, WA 993449934 (Tel: 5094885256)

📍
Updated Business Mailing Address February 18, 2020

Registered at 1515 E COLUMBIA ST, OTHELLO, WA 993441846 (Tel: 5094885256)

NPI Profile Active January 06, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location January 06, 2017

Registered at 140 E MAIN ST, DENTAL DEPARTMENT, OTHELLO, WA 993441040 (Tel: 5094885256)

📍
Updated Business Mailing Address January 06, 2017

Registered at 140 E MAIN ST, OTHELLO, WA 993441040 (Tel: 5094885256)

👤
Provider Name / Credentials Updated January 06, 2017

Recorded as NICHOLE TOMBLIN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 06, 2017

Dentist (License #DE60708382 in WA)

🟢
Initial NPI Registration & Enumeration February 06, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1114385044
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 06, 2016
Last Update: January 27, 2025
Sole Proprietor: Yes

Mailing Address

210 Government Rd

Mattawa, WA 993495116

Phone: 5099324499

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.