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

Kids Dental of Centralia, PC

Organization General Practice Dentistry · NPI 1659796076

Kids Dental of Centralia, PC provides 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 Not confirmed with CMS for 12 years — call before visiting
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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