Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1740640705 Individual Practitioner Female Practitioner

Dr. Colleen Bothell , DDS

Dentist • Yakima, WA

Professional Overview & Biography Verified Profile Summary

Dr. Colleen Bothell, DDS is a registered healthcare professional specializing in Dentist in Yakima, WA. Practice services are available at 12 S 8TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12 S 8th St

Yakima, WA 989013020

Telephone 5094544143
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Yakima, WA

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

Practicing in Yakima, 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

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License WA DE60732007

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Maria-Elena Mendoza , LICSW

Social Worker - Clinical

NPI 1003329665

Licensed Independent Clinical Social Worker

Mary Franz , RN

Registered Nurse

NPI 1003332149

Registered Nurse

Ashleigh Gaskell , RN

Registered Nurse

NPI 1003340936

Registered Nurse

Thomas Davidson , CDP

Counselor - Addiction (Substance Use Disorder)

NPI 1003382409
Diana Godinez

Registered Nurse

NPI 1003488628
NPI 1013669647

Career & Practice History Timeline

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

18 Historical Events
📍
Updated Practice Location November 30, 2018

Registered at 12 S 8TH ST, YAKIMA, WA 989013020 (Tel: 5094544143)

📍
Updated Business Mailing Address November 30, 2018

Registered at PO BOX 2605, YAKIMA, WA 989072605 (Tel: 5094544143)

📍
Updated Practice Location April 01, 2018

Registered at 830 METCALF ST, SEDRO WOOLLEY, WA 982841423 (Tel: 3608550351)

📍
Updated Business Mailing Address April 01, 2018

Registered at 830 METCALF ST, SEDRO WOOLLEY, WA 982841423

👤
Provider Name / Credentials Updated April 01, 2018

Recorded as COLLEEN BOTHELL, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 01, 2018

Student in an Organized Health Care Education/Training Program

NPI Profile Active March 29, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 29, 2017

Registered at 1959 NE PACIFIC ST BOX 537134, UNIVERSITY OF WASHINGTON DEPT OF ORAL SURGERY, SEATTLE, WA 981950001 (Tel: 5098330561)

📍
Updated Business Mailing Address March 29, 2017

Registered at 1959 NE PACIFIC ST BOX 537134, UNIVERSITY OF WASHINGTON DEPT OF ORAL SURGERY, SEATTLE, WA 981950001

👤
Provider Name / Credentials Updated March 29, 2017

Recorded as COLLEEN HENNESSEY, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 29, 2017

Student in an Organized Health Care Education/Training Program

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 29, 2017

Dentist (License #DE60732007 in WA)

NPI Profile Active July 01, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location July 01, 2016

Registered at 1959 NE PACIFIC ST BOX 537134, UNIVERSITY OF WASHINGTON DEPT OF ORAL SURGERY, SEATTLE, WA 981950001 (Tel: 5098330561)

📍
Updated Business Mailing Address July 01, 2016

Registered at 1959 NE PACIFIC ST BOX 537134, UNIVERSITY OF WASHINGTON DEPT OF ORAL SURGERY, SEATTLE, WA 981950001

👤
Provider Name / Credentials Updated July 01, 2016

Recorded as COLLEEN HENNESSEY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2016

Dentist (License #DR60648579 in WA)

🟢
Initial NPI Registration & Enumeration March 02, 2016

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: 1740640705
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 02, 2016
Last Update: November 30, 2018
Sole Proprietor: No

Mailing Address

Po Box 2605

Yakima, WA 989072605

Phone: 5094544143

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.