MEDICARE: DENTISTRY ON THE HEIGHTS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1013876150
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DENTISTRY ON THE HEIGHTS

Provider Business Mailing Address
First Line	:	8308 E MILL PLAIN BLVD STE 101
Second Line	:
City	:	VANCOUVER
State	:	WA
Zip	:	98664-2066
Country	:	US
Telephone Number	:	360-256-6500
Fax Number	:	360-256-2651

Provider Business Practice Location Address
First Line	:	8308 E MILL PLAIN BLVD STE 101
Second Line	:
City	:	VANCOUVER
State	:	WA
Zip	:	98664-2066
Country	:	US
Telephone Number	:	360-256-6500
Fax Number	:	360-256-2651

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	KIRSTEN POLETE
Credential	:
Telephone Number	:	360-256-6500

Provider Enumeration Date	:	01/15/2026
Last Update Date	:	01/15/2026

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Directions to “DENTISTRY ON THE HEIGHTS ” Practice Location

Language	Start Address	Practice Location

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