# HAN, ROSE AND RHOTEN, PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Clearwater Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013153469
- **Authorized official:** JERRY C HAN DDS (OWNER PARTNER)
- **Authorized official phone:** (509) 783-5000

## Contact information

- **Practice address:** 5000 W. CLEARWATER AVE., KENNEWICK, WA 99336-1964
- **Practice address phone:** (509) 783-5000
- **Mailing address:** 5000 W CLEARWATER AVE, KENNEWICK, WA 99336-1910
- **Mailing address phone:** (509) 783-5000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DE00004645 | WA | Yes |
| 1223G0001X | General Practice Dentistry | DE00008483 | WA | — |
| 1223G0001X | General Practice Dentistry | DE00010578 | WA | — |
| 1223G0001X | General Practice Dentistry | — | NULL | — |
| 1223G0001X | General Practice Dentistry | — | — | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | — |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | — | NULL | — |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | — | — | — |
| 125Q00000X | Oral Medicine Dentistry | — | NULL | — |
| 125Q00000X | Oral Medicine Dentistry | — | — | — |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |
| 332BC3200X | Customized Equipment (DME) | — | NULL | — |

## Other

- **Enumeration date:** 01/06/2009
- **Last updated:** 08/07/2026