Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Custom Dentures LLC

Organization Denturist · NPI 1093965600

Custom Dentures LLC provides Denturist services 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 Not confirmed with CMS for 18 years — call before visiting
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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