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Active NPI 1457285082 Individual Practitioner Female Practitioner

Jessica Winarto

Dentist - General Practice • Walla Walla, WA

Professional Overview & Biography Verified Profile Summary

Jessica Winarto is a registered healthcare professional specializing in Dentist - General Practice in Walla Walla, WA. Practice services are available at 217 S 2ND AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

217 S 2nd Ave

Walla Walla, WA 993623002

Telephone 5097798603
Associated Practice Facility / Clinic
🏢 Nannette Goyer Dds Pllc Facility NPI 1902071525

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Walla Walla, WA

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

Practicing in Walla Walla, 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: 2026-06-24
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WA DENT.DE.70140807

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

4 Associated Practitioners
Dr. Peter Bae , DDS

Dentist - General Practice

NPI 1194946335

Doctor of Dental Surgery

Dr. Richard Buck , DMD

Dentist - General Practice

NPI 1316922164

Doctor of Dental Medicine

Nannette Goyer

Dentist - General Practice

NPI 1811918154
NPI 1881961779

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 24, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location June 24, 2026

Registered at 217 S 2ND AVE, WALLA WALLA, WA 993623002 (Tel: 5097798603)

📍
Updated Business Mailing Address June 24, 2026

Registered at 217 S 2ND AVE, WALLA WALLA, WA 993623002 (Tel: 5097798603)

👤
Provider Name / Credentials Updated June 24, 2026

Recorded as JESSICA WINARTO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2026

Dentist (License #DENT.DE.70140807 in WA)

🟢
Initial NPI Registration & Enumeration June 09, 2026

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: 1457285082
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 09, 2026
Last Update: June 24, 2026
Sole Proprietor: Yes

Mailing Address

217 S 2nd Ave

Walla Walla, WA 993623002

Phone: 5097798603

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.