OrganizationActive
Mirror Pond Dental, LLC
NPI 1548719461 · Dentist · Vancouver, WA
Mirror Pond Dental, LLC is a Dentist organization in Vancouver, WA (NPI 1548719461).
Provider details
- NPI number
- 1548719461
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Marc Nordstrom, Member(541) 610-7837
- License
- DE60682826 (WA)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
1412 Ne 134th St. Suite 120
Vancouver, WA 98685
Phone: (360) 573-4848
Street-level locationGet directions
Mailing address
1475 Sw Chandler Ave Ste 201
Bend, OR 97702-3240
Registry dates
- Enumerated
- 2016-10-04
- Last updated
- 2016-10-04
Frequently asked questions
- What is Mirror Pond Dental, LLC's NPI number?
- Mirror Pond Dental, LLC's National Provider Identifier (NPI) is 1548719461, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mirror Pond Dental, LLC?
- Mirror Pond Dental, LLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Mirror Pond Dental, LLC located?
- Mirror Pond Dental, LLC's practice location on file with NPPES is 1412 Ne 134th St. Suite 120, Vancouver, WA 98685.
- What is Mirror Pond Dental, LLC's phone number?
- The practice phone number listed in the NPPES registry for Mirror Pond Dental, LLC is (360) 573-4848.
- Who is the authorized official for Mirror Pond Dental, LLC?
- The authorized official listed on Mirror Pond Dental, LLC's NPPES record is Marc Nordstrom, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mirror Pond Dental, LLC's NPI active?
- Yes — Mirror Pond Dental, LLC's NPI (1548719461) is active in the NPPES registry as of the last update on 2016-10-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.