Olympia Pediatric Dentistry – Pediatric Dentistry, NPI 1053654525

Olympia Pediatric Dentistry is a healthcare provider. based in Olympia, Washington. specializing in Pediatric Dentistry. The organization holds a License No. DE60284724 (WA). The NPI Number for Olympia Pediatric Dentistry is 1053654525

Main info

Organization
Name
Olympia Pediatric Dentistry
NPI
1053654525
Phone
(360) 352-3515
Address
2612 YELM HWY SE
Authorized Official
DR. ANDREA MARIE VANCLEAVE MEMBER D.D.S.
Enumeration Date
2 April 2013
Last Update Date
2 April 2013
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness80
Years active:13State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for Olympia Pediatric Dentistry

  • 2612 YELM HWY SE

    SUITE A

    OLYMPIA, WA 985014826

    Phone: (360) 352-3515

    Fax: (360) 352-0158

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98501)

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Reviews

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Frequently asked questions

Where can patients find Olympia Pediatric Dentistry's NPI?
You can confirm Olympia Pediatric Dentistry with NPI 1053654525; it appears in the national provider directory.
Is Olympia Pediatric Dentistry currently active in the NPI registry?
CMS-published data lists Olympia Pediatric Dentistry as an active registrant.
What kind of provider is Olympia Pediatric Dentistry?
The page reflects Pediatric Dentistry for Olympia Pediatric Dentistry. Clinical services aligned with this taxonomy classification.
What location metadata exists for Olympia Pediatric Dentistry?
The page summarizes Olympia, Washington for Olympia Pediatric Dentistry; expand the address list for detail.
What if Olympia, Washington seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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