Wenatchee Wisdom Teeth Pllc

Wenatchee Wisdom Teeth Pllc is a healthcare organization registered as Dentist in Wenatchee, WA, holding Type 2 (organization) NPI 1104624170 since 2025. The authorized official on file is Ricardo Colunga, Business Director.

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NPI	1104624170
Entity type	Organization (Type 2)
Legal business name	Wenatchee Wisdom Teeth Pllc
Practice address	211 N WHITMAN WAY, Wenatchee, WA, 98801
Phone	5098888088
Enumeration date	2025-03-05
Last updated in NPPES	2025-03-21

Authorized official

Name	Ricardo Colunga
Title	Business Director
Phone	5098855703

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
122300000X	Dentist	Primary	—	—

Copy-ready billing details

Provider: Wenatchee Wisdom Teeth Pllc
NPI: 1104624170
Taxonomy: 122300000X (Dentist)
Address: 211 N WHITMAN WAY, Wenatchee, WA, 98801

Providers at this address

NPI	Name	Type	Specialty	Location
1629398425	Jonathan Dickson	Individual	Dentist	Wenatchee, WA
1285056796	Scott Bibbens, Dmd, Pllc	Organization	Dentist	Wenatchee, WA
1760933329	Scott Bibbens Dmd Pl LLC	Organization	General Practice Dentistry	Wenatchee, WA
1215899554	Eppich Nw, LLC	Organization	Dental Anesthesiology	Wenatchee, WA

Verify this record

Cross-check NPI 1104624170 against the authoritative CMS record: view Wenatchee Wisdom Teeth Pllc 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

Where is Wenatchee Wisdom Teeth Pllc located?

The practice location on file with NPPES is in Wenatchee, WA.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-03-21. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-03-21.