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

Justin Wayne Fillmore, DDS

Individual provider Pediatric Dentistry · NPI 1053651893

Justin Wayne Fillmore, DDS is a Pediatric Dentistry in Yakima, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2013
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

2205 W Lincoln Ave
Yakima, WA 98902-2437
Phone: (509) 575-3399
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 60299331 (WA)

Record details

NPI number1053651893
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedFebruary 14, 2013
Last updated in NPPESFebruary 14, 2013
Mailing address210 S 66th Ave # 2, Yakima, WA 98908-1722

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