CHARLES CROASDILL DMD PLLC NPI 1104067198

NPI Information

NPI: 1104067198
Provider Name: CHARLES CROASDILL DMD PLLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
2520 N ALDER ST
TACOMA, WA
ZIP 98406
Phone: (253) 759-5414
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CHARLES CROASDILL DMD PLLC is a dental clinic center in Tacoma, WA. CHARLES CROASDILL DMD PLLC NPI is 1104067198. The provider is registered as an organization entity type.

The provider's business location address is:

2520 N ALDER ST
TACOMA, WA
ZIP 98406-632
Phone: (253) 759-5414

The provider's authorized official is Charles Croasdill Watson Croasdill .
The authorized official title is Owner and has the following contact phone number (253) 759-5414.

The enumeration date for this NPI number is 3/20/2009 and was last updated on 3/20/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	5005	WASHINGTON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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