Provider Demographics
NPI:1760354872
Name:CROWN POINT DENTURES
Entity type:Organization
Organization Name:CROWN POINT DENTURES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTURIST
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:ANUCHIN
Authorized Official - Suffix:
Authorized Official - Credentials:LD
Authorized Official - Phone:360-949-9778
Mailing Address - Street 1:8825 S 3RD ST
Mailing Address - Street 2:
Mailing Address - City:RIDGEFIELD
Mailing Address - State:WA
Mailing Address - Zip Code:98642-5692
Mailing Address - Country:US
Mailing Address - Phone:360-949-9778
Mailing Address - Fax:360-313-6973
Practice Address - Street 1:8825 S 3RD ST
Practice Address - Street 2:
Practice Address - City:RIDGEFIELD
Practice Address - State:WA
Practice Address - Zip Code:98642-5692
Practice Address - Country:US
Practice Address - Phone:360-949-9778
Practice Address - Fax:360-313-6973
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-18
Last Update Date:2025-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122400000XDental ProvidersDenturistGroup - Single Specialty