Organization
HAN, ROSE AND RHOTEN, PLLC
Active
Other names
Clearwater Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY CHING-YUAN HAN DDS (DENTIST)
(509) 783-5000
Entity
Organization
Contact information
Practice address
5000 W. CLEARWATER AVE., KENNEWICK, WA 99336-1964
(509) 783-5000
Mailing address
5000 W CLEARWATER AVE, KENNEWICK, WA 99336-1964
(509) 783-5000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00004645
WA
1223G0001X
General Practice Dentistry
DE00008483
WA
1223G0001X
General Practice Dentistry
DE00010578
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0021156
L & I
WA
01
—
1104231497
DR ROSE NPI
WA
01
—
1215241567
DR THOMAS NPI
WA
01
—
1538238779
NPI DR MATHESON
WA
01
—
1891867875
NPI DR HAN
WA
05
—
5510003
—
WA
01
—
DE00004645
STATE DENTAL LICENSE-MATHESON
WA
01
—
DE00008483
STATE DENTAL LICENSE-HAN
WA
01
—
DE60173351
DR THOMAS
WA
01
—
DE60478319
DR ROSE
WA
Enumeration date
01/06/2009
Last updated
02/18/2026
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