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Active NPI 1306902929 Individual Practitioner Male Practitioner

William S. Disantis , DD

Denturist • Yakima, WA

Professional Overview & Biography Verified Profile Summary

William Disantis, DD is a registered healthcare professional specializing in Denturist in Yakima, WA. Practice services are available at 210 S 11TH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

210 S 11th Ave
Suite #45

Yakima, WA 989023293

Telephone 5094542273
Fax 5094547901
Associated Practice Facility / Clinic
🏢 Ivory Denture Care, Inc. Facility NPI 1922164557

Specialty Benchmarks & Practice Insights

Comparative analytics for Denturist in Yakima, WA

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

Practicing in Yakima, WA (204 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

Denturist Primary Specialty

NUCC Taxonomy Code: 122400000X

State License WA DN00000367

A denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
5048293 (WA)
Commercial Insurance / Payer ID License Number
DN00000367 (WA)

Practice Associates & Co-Workers

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

4 Associated Practitioners
NPI 1003929423

Doctor of Osteopathic Medicine (D.O.)

Christine Talbott , MA CCC-SLP

Speech-Language Pathologist

NPI 1306023726

MACCCSLP

Kevin Fitzgerald , PA-C

Physician Assistant

NPI 1548565682

Physician Assistant (Certified)

Mary Zylstra

Counselor - Mental Health

NPI 1659716520

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 210 S 11TH AVE, SUITE #45, YAKIMA, WA 989023293 (Tel: 5094542273)

📍
Updated Business Mailing Address July 09, 2007

Registered at 210 S 11TH AVE, SUITE #45, YAKIMA, WA 989023293 (Tel: 5094542273)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as WILLIAM DISANTIS, D.D.

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

Denturist (License #DN00000367 in WA)

🟢
Initial NPI Registration & Enumeration December 28, 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: 1306902929
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 28, 2006
Last Update: July 09, 2007
Sole Proprietor: Yes

Mailing Address

210 S 11th Ave, Suite #45

Yakima, WA 989023293

Phone: 5094542273

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.