Custom Dentures LLC
Custom Dentures LLC is a healthcare organization registered as Denturist in Vancouver, WA, holding Type 2 (organization) NPI 1093965600 since 2008. The authorized official on file is Cameron Fettig, Business Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1093965600 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Custom Dentures LLC |
| Practice address | 13720 NE 28TH ST, #B, Vancouver, WA, 98682 |
| Phone | 3608839888 |
| Fax | 3608839909 |
| Enumeration date | 2008-09-19 |
| Last updated in NPPES | 2008-09-19 |
Authorized official
| Name | Cameron Fettig |
|---|---|
| Title | Business Manager |
| Phone | 3608839888 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 122400000X | Denturist | Primary | DN00000393 | WA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5047576 | Medicaid | WA | — |
Copy-ready billing details
Provider: Custom Dentures LLC NPI: 1093965600 Taxonomy: 122400000X (Denturist) Address: 13720 NE 28TH ST, #B, Vancouver, WA, 98682
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1043383193 | Daniela Almajan | Individual | Dentist | Vancouver, WA |
| 1184051054 | Evergreen Denture Center | Organization | Denturist | Vancouver, WA |
Verify this record
Cross-check NPI 1093965600 against the authoritative CMS record: view Custom Dentures LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Custom Dentures LLC?
Who is the authorized official for Custom Dentures LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-09-19.