# BILLY DON CARD, JR., DDS, MS, PS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891790812
- **Authorized official:** DR. BILLY DON CARD JR. DDS, MS (PRESIDENT)
- **Authorized official phone:** (509) 663-6883

## Contact information

- **Practice address:** 620 N EMERSON AVE, STE 102, WENATCHEE, WA 98801-6619
- **Practice address phone:** (509) 663-6883
- **Practice address fax:** (509) 662-8741
- **Mailing address:** 620 N EMERSON AVE, STE 102, WENATCHEE, WA 98801-6619
- **Mailing address phone:** (509) 663-6883
- **Mailing address fax:** (509) 662-8741

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 8590 | WA | Yes |

## Other

- **Enumeration date:** 06/16/2005
- **Last updated:** 09/25/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0141944 | LABOR & INDUSTRIES | WA |
| 01 | — | 238 | WDS CLIENT \# | WA |
| 01 | — | 8925622 | CRIME VICTIMS COMP. PROG. | WA |
| 01 | — | DE 00008590 | STATE DENTAL LICENSE | WA |