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Active NPI 1528296399 Individual Practitioner Male Practitioner

Dr. David C Haderlie , DDS

Dentist - Endodontics • Moses Lake, WA

Professional Overview & Biography Verified Profile Summary

Dr. David Haderlie, DDS is a registered healthcare professional specializing in Dentist - Endodontics in Moses Lake, WA. Practice services are available at 605 S COOLIDGE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

605 S Coolidge St

Moses Lake, WA 988371873

Telephone 5097650674
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Endodontics in Moses Lake, WA

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

Practicing in Moses Lake, 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

CMS Verified: 2022-08-04
Dentist - Endodontics Primary Specialty

NUCC Taxonomy Code: 1223E0200X

State License WA DE60720894

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.

Dentist

NUCC Taxonomy Code: 122300000X

State License ID D4237

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

NUCC Taxonomy Code: 122300000X

State License WA DE60720894

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 - Endodontics

NUCC Taxonomy Code: 1223E0200X

State License WA 60720894

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

Medicaid State Provider ID
2016334 (WA)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Francie Trowbridge , ARNP

Nurse Practitioner

NPI 1013567759

Advanced Registered Nurse Practitioner

NPI 1023412293

Doctor of Dental Surgery

NPI 1023740990

Doctor of Dental Surgery

Chloe Kesterson , PA-C

Physician Assistant

NPI 1033874144

Physician Assistant (Certified)

NPI 1053479279

Doctor of Dental Medicine

NPI 1053799981

Master of Science, Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

18 Historical Events
📍
Updated Practice Location August 04, 2022

Registered at 605 S COOLIDGE ST, MOSES LAKE, WA 988371873 (Tel: 5097650674)

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

Dentist (License #D4237 in ID)

📍
Updated Practice Location June 27, 2019

Registered at 264 FARMINGTON AVENUE, FARMINGTON, CT 060301893 (Tel: 8606792207)

📍
Updated Business Mailing Address June 27, 2019

Registered at 263 FARMINGTON AVE, FARMINGTON, CT 060300002

NPI Profile Active July 27, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location July 27, 2017

Registered at 605 S COOLIDGE ST, MOSES LAKE, WA 988371893 (Tel: 5097650674)

📍
Updated Business Mailing Address July 27, 2017

Registered at 605 S COOLIDGE ST, MOSES LAKE, WA 988371893 (Tel: 5097650674)

👤
Provider Name / Credentials Updated July 27, 2017

Recorded as DAVID HADERLIE, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 27, 2017

Dentist (License #D4237 in ID)

📍
Updated Practice Location January 18, 2017

Registered at 605 S COOLIDGE ST, MOSES LAKE, WA 988371893 (Tel: 5097650674)

📍
Updated Business Mailing Address January 18, 2017

Registered at 605 S COOLIDGE ST, MOSES LAKE, WA 988371893 (Tel: 5097650674)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 18, 2017

Dentist (License #DE60720894 in WA)

NPI Profile Active June 30, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location June 30, 2009

Registered at 2033 E SUMMERSWEET DR, BOISE, ID 837166695 (Tel: 2083310182)

📍
Updated Business Mailing Address June 30, 2009

Registered at 2033 E SUMMERSWEET DR, BOISE, ID 837166695 (Tel: 2083310182)

👤
Provider Name / Credentials Updated June 30, 2009

Recorded as DAVID HADERLIE, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2009

Dentist (License #D4237 in ID)

🟢
Initial NPI Registration & Enumeration June 30, 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: 1528296399
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 30, 2009
Last Update: August 04, 2022
Sole Proprietor: No

Mailing Address

263 Farmington Ave

Farmington, CT 060300002

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.