OrganizationActive
Wenatchee Wisdom Teeth PLLC
NPI 1104624170 · Dentist · Wenatchee, WA
Wenatchee Wisdom Teeth PLLC is a Dentist organization in Wenatchee, WA (NPI 1104624170).
Provider details
- NPI number
- 1104624170
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Ricardo Colunga, Business Director(509) 885-5703
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
211 N Whitman Way
Wenatchee, WA 98801-2192
Phone: (509) 888-8088
Street-level locationGet directions
Mailing address
211 N Whitman Way
Wenatchee, WA 98801-2192
Other names (DBA / former)
- Doing business as
- Wenatchee Wisdom Teeth
Registry dates
- Enumerated
- 2025-03-05
- Last updated
- 2025-03-21
- Certified
- 2025-03-21
Frequently asked questions
- What is Wenatchee Wisdom Teeth PLLC's NPI number?
- Wenatchee Wisdom Teeth PLLC's National Provider Identifier (NPI) is 1104624170, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wenatchee Wisdom Teeth PLLC?
- Wenatchee Wisdom Teeth PLLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Wenatchee Wisdom Teeth PLLC located?
- Wenatchee Wisdom Teeth PLLC's practice location on file with NPPES is 211 N Whitman Way, Wenatchee, WA 98801-2192.
- What is Wenatchee Wisdom Teeth PLLC's phone number?
- The practice phone number listed in the NPPES registry for Wenatchee Wisdom Teeth PLLC is (509) 888-8088.
- Who is the authorized official for Wenatchee Wisdom Teeth PLLC?
- The authorized official listed on Wenatchee Wisdom Teeth PLLC's NPPES record is Ricardo Colunga, Business Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wenatchee Wisdom Teeth PLLC's NPI active?
- Yes — Wenatchee Wisdom Teeth PLLC's NPI (1104624170) is active in the NPPES registry as of the last update on 2025-03-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.