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Active NPI 1457449712 Individual Practitioner Male Practitioner

Dr. Owen E Packard , DDS

Dentist - General Practice • Yakima, WA

Professional Overview & Biography Verified Profile Summary

Dr. Owen Packard, DDS is a registered healthcare professional specializing in Dentist - General Practice in Yakima, WA. Practice services are available at 1501 S 40TH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1501 S 40th Ave

Yakima, WA 989083963

Telephone 5095778277
Fax 5095734858
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Yakima, WA

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

Practicing in Yakima, 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 7355

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
5018668 (WA)
Commercial Insurance / Payer ID Labor & Industries
103737 (WA)
Commercial Insurance / Payer ID Delta
529962 (WA)
Commercial Insurance / Payer ID Tpin
92560941 (WA)
Commercial Insurance / Payer ID Wa State License
7355 (WA)
Commercial Insurance / Payer ID Crime Victims
8923147 (WA)

Practice Associates & Co-Workers

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

3 Associated Practitioners
Dr. David Packard , DMD

Dentist - General Practice

NPI 1740377670

Doctor of Dental Medicine

Dr. Bennett Packard , DMD

Dentist - General Practice

NPI 1861580797

Doctor of Dental Medicine

Dr. Shane Smith , DDS

Dentist - General Practice

NPI 1952499790

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 1501 S 40TH AVE, YAKIMA, WA 989083963 (Tel: 5095778277)

📍
Updated Business Mailing Address July 09, 2007

Registered at 1501 S 40TH AVE, YAKIMA, WA 989083963 (Tel: 5095778277)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as OWEN PACKARD, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Dentist (License #7355 in WA)

🟢
Initial NPI Registration & Enumeration October 11, 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: 1457449712
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 11, 2006
Last Update: March 07, 2023
Sole Proprietor: No

Mailing Address

1501 S 40th Ave

Yakima, WA 989083963

Phone: 5095778277

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.