Pine Street Dental – Dentist, NPI 1184006074

Pine Street Dental is a healthcare provider. based in Connell, Washington. specializing in Dentist. The organization holds a License No. D-4649 (ID). The NPI Number for Pine Street Dental is 1184006074

Main info

Organization
Name
Pine Street Dental
NPI
1184006074
Phone
Not provided
Address
PO BOX 327
Authorized Official
JOHN WILSON OWNER
Enumeration Date
26 June 2015
Last Update Date
19 September 2025
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness90
Years active:10State licenses:1Digital endpoints

Provider Addresses for Pine Street Dental

  • PO BOX 327

    CONNELL, WA 993260327

    Phone:

    Type: Mailing

  • 2005 PINE ST

    SANDPOINT, ID 838649327

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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 99326)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I use this page to confirm Pine Street Dental's NPI?
Yes. Pine Street Dental is listed with NPI 1184006074 in the public NPI dataset.
Is Pine Street Dental still practicing?
Pine Street Dental is currently listed as active in the public NPI registry.
What is Pine Street Dental's specialty?
The listing groups Pine Street Dental with Dentist. Clinical services aligned with this taxonomy classification.
Where should I expect Pine Street Dental on a map?
Expect Connell, Washington as a primary anchor for Pine Street Dental unless the record lists multiple sites.
Is the information about Pine Street Dental up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

Similar Providers

601 Government Way
NPI: 1932212727
1515 E Columbia St
NPI: 1962790006

ALEXANDER DAVID SNYDER (DMD)

Pediatric Dentistry
1051 Columbia Ave
NPI: 1215342399
250 GAGE BLVD APT A-2001
NPI: 1124576129
12 S 8T HST
NPI: 1366970048
1051 Columbia Ave
NPI: 1144889353
East Columbia Street, Othello, Adams County, Washington, United States
NPI: 1033768957

RICHARD JIMENEZ (D.M.D.)

Student in an Organized Health Care Education/Training Program
PO BOX 21
NPI: 1467077891
1051 COLUMBIA AVE
NPI: 1134747603