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

Kids Dental of Centralia, PC

Organization General Practice Dentistry · NPI 1659796076

Kids Dental of Centralia, PC is a General Practice Dentistry in Centralia, Washington. Licensed in Washington. Registered with an NPI since 2014.

Licensed in
WA
In the registry since
2014
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1611 Kresky Ave
Centralia, WA 98531-8982
Phone: (360) 736-5437
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DE60282727 (WA)

Record details

NPI number1659796076
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Justin Vanbibber — Owner · (360) 736-5437
NPI enumeratedFebruary 21, 2014
Last updated in NPPESFebruary 21, 2014
Mailing address1611 Kresky Ave, Centralia, WA 98531-8982

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