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Active NPI 1407262215 Individual Practitioner Male Practitioner

Dr. Broc Gundersen , DMD

Dentist - General Practice • Quincy, WA

Professional Overview & Biography Verified Profile Summary

Dr. Broc Gundersen, DMD is a registered healthcare professional specializing in Dentist - General Practice in Quincy, WA. Practice services are available at 1450 1ST AVE SW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1450 1st Ave Sw

Quincy, WA 988481695

Telephone 5097870715
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Quincy, WA

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

Practicing in Quincy, 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 DE60477428

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.

Practice Associates & Co-Workers

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

8 Associated Practitioners
Laura Cottingham

Family Medicine

NPI 1063809440
NPI 1154900918

Doctor of Pharmacy (Pharm.D.)

NPI 1275806598

Doctor of Pharmacy (Pharm.D.)

Alexa Blake

Case Manager/Care Coordinator

NPI 1316422512
NPI 1619491651

Master of Social Work

Rachel Gaspard , FNP-BC

Nurse Practitioner - Family

NPI 1720499445

Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 05, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location September 05, 2014

Registered at 1450 1ST AVE SW, QUINCY, WA 988481695 (Tel: 5097870715)

📍
Updated Business Mailing Address September 05, 2014

Registered at 1450 1ST AVE SW, QUINCY, WA 988481695 (Tel: 5097870715)

👤
Provider Name / Credentials Updated September 05, 2014

Recorded as BROC GUNDERSEN, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 05, 2014

Dentist (License #DE60477428 in WA)

🟢
Initial NPI Registration & Enumeration July 02, 2014

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: 1407262215
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 02, 2014
Last Update: September 05, 2014
Sole Proprietor: No

Mailing Address

1450 1st Ave Sw

Quincy, WA 988481695

Phone: 5097870715

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.