Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Custom Dentures LLC

Organization Denturist · NPI 1093965600

Custom Dentures LLC is a Denturist in Vancouver, Washington. Licensed in Washington. Registered with an NPI since 2008.

Licensed in
WA
In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

13720 NE 28th St #B
Vancouver, WA 98682-8048
Phone: (360) 883-9888
Fax: (360) 883-9909
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Denturist (primary) Taxonomy 122400000X · Licence DN00000393 (WA)

Record details

NPI number1093965600
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cameron Fettig — Business Manager · (360) 883-9888
NPI enumeratedSeptember 19, 2008
Last updated in NPPESSeptember 19, 2008
Mailing address13720 Ne 28th St, B, Vancouver, WA 98682-8048

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