Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUSTIN WAYNE FILLMORE, DDS
Active Sole ProprietorPediatric Dentistry · YAKIMA, WA
Registration Details
- NPI Number
- 1053651893
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 14, 2013 (13.183088266705 yrs)
- Last Updated
- Feb 14, 2013
- License
-
60299331 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2205 W LINCOLN AVEYAKIMA, WA, 989022437Browse WA providers · Browse ZIP 98902
- Phone
- 5095753399
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
Other Pediatric Dentistry Providers in YAKIMA, WA
| Name | Credential | NPI |
|---|---|---|
| DR. GEOFFREY TYLER PING | D.D.S. | 1972712966 |
| JESSICA R WEBB | DDS | 1013107937 |
| DR. ASHLEY STORMO TERCERO | DDS | 1508056193 |
| DR. JOSEPH ROBERT WILSON | D.M.D | 1831383645 |
| JAMES PURCELL | — | 1083055867 |
| RYAN THOMAS RICHARDSON | D.M.D. | 1619381472 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.