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NPI 1073774113 · General Practice Dentistry · Vancouver, WA
Provider details
- NPI number
- 1073774113
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Matthew Aldridge, Managing Dentist(360) 566-1400
- License
- DE00010531 (WA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9013 Ne Highway 99
Suite M
Vancouver, WA 98665-8942
Phone: (360) 566-1400
Fax: (360) 566-1402
Street-level locationGet directions
Mailing address
9013 Ne Highway 99
Vancouver, WA 98665-8942
Other names (DBA / former)
- Doing business as
- River Dental
Registry dates
- Enumerated
- 2008-06-20
- Last updated
- 2008-06-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.