Healthcare Provider Details

I. General information

NPI: 1871423962
Provider Name (Legal Business Name): STEVEN VORHOLT DDS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7604 NE 5TH AVE STE 114
VANCOUVER WA
98665-8200
US

IV. Provider business mailing address

7604 NE 5TH AVE STE 114
VANCOUVER WA
98665-8200
US

V. Phone/Fax

Practice location:
  • Phone: 360-255-0510
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KAYLA KRAWCZYNSKI
Title or Position: ATTORNEY
Credential:
Phone: 314-949-5201