BAKHTIAR ARDI PRIBADI DDS PS NPI 1144533142

NPI Information

NPI: 1144533142
Provider Name: BAKHTIAR ARDI PRIBADI DDS PS

Doing Business As: AUTUMNWOOD DENTAL

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
430 N WEST AVE STE 1
ARLINGTON, WA
ZIP 98223
Phone: (360) 474-9163
Get Directions

BAKHTIAR ARDI PRIBADI DDS PS is a dental clinic center in Arlington, WA. BAKHTIAR ARDI PRIBADI DDS PS NPI is 1144533142. The provider is registered as an organization entity type.
The provider Is Doing Business As Autumnwood Dental.

The provider's business location address is:

430 N WEST AVE STE 1
ARLINGTON, WA
ZIP 98223-539
Phone: (360) 474-9163
Fax: (360) 474-9180

The provider's authorized official is Bakhtiar Ardi Pribadi .
The authorized official title is Owner and has the following contact phone number (360) 474-9163.

The enumeration date for this NPI number is 7/19/2010 and was last updated on 7/29/2010.

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	DE00010465	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: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »