OrganizationActive
Custom Dentures LLC
NPI 1093965600 · Denturist · Vancouver, WA
Custom Dentures LLC is a Denturist organization in Vancouver, WA (NPI 1093965600).
Provider details
- NPI number
- 1093965600
- Entity type
- Organization
- Primary specialty
- DenturistDental Providers
- Organization subpart
- No
- Authorized official
- Cameron Fettig, Business Manager(360) 883-9888
- License
- DN00000393 (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
18 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
13720 Ne 28th St
#b
Vancouver, WA 98682-8048
Phone: (360) 883-9888
Fax: (360) 883-9909
Street-level locationGet directions
Mailing address
13720 Ne 28th St
Vancouver, WA 98682-8048
Registry dates
- Enumerated
- 2008-09-19
- Last updated
- 2008-09-19
Frequently asked questions
- What is Custom Dentures LLC's NPI number?
- Custom Dentures LLC's National Provider Identifier (NPI) is 1093965600, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Custom Dentures LLC?
- Custom Dentures LLC is classified in the NPPES registry as Denturist (Dental Providers).
- Where is Custom Dentures LLC located?
- Custom Dentures LLC's practice location on file with NPPES is 13720 Ne 28th St, Vancouver, WA 98682-8048.
- What is Custom Dentures LLC's phone number?
- The practice phone number listed in the NPPES registry for Custom Dentures LLC is (360) 883-9888.
- Who is the authorized official for Custom Dentures LLC?
- The authorized official listed on Custom Dentures LLC's NPPES record is Cameron Fettig, Business Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Custom Dentures LLC's NPI active?
- Yes — Custom Dentures LLC's NPI (1093965600) is active in the NPPES registry as of the last update on 2008-09-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.