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Tenino Denture Center, LLC

Denturist in Tenino, WA · enumerated 2013 · authorized official Maenell Sullivan, Member.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1366885204

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Registry record

Entity type Organization (Type 2)
Legal business name Tenino Denture Center, LLC
Practice address 296 Sussex Ave W, Tenino, WA, 98589
Phone (360) 264-5500
Enumeration date Apr 10, 2013
Last updated in NPPES Apr 10, 2013

Taxonomy & classification

122400000X Denturist Dental Providers · License DN000361WA (WA) Primary

Authorized official

Name Maenell Sullivan
Title Member
Phone (360) 264-5500

Other identifiers

Identifier Type State Issuer
DN000361WA Other WA PROFESSIONAL LICENSE
5045273 Medicaid WA -
1679675367 Other WA NPI TYPE I

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.

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Frequently asked questions

What is the NPI number for Tenino Denture Center, LLC?
The NPI for Tenino Denture Center, LLC is 1366885204, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Tenino Denture Center, LLC?
NPPES lists Maenell Sullivan (Member) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-04-10.