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MC-NSPK LLC NPI 1164462487


NPI Information

NPI: 1164462487
Provider Name: MC-NSPK LLC

Doing Business As: MINT CONDITION DENTAL

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
5901 N. LIDGERWOOD
STE 233
SPOKANE, WA
ZIP 99208
Phone: (509) 489-4763
Get Directions

MC-NSPK LLC is a general practice dentist in Spokane, WA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. MC-NSPK LLC NPI is 1164462487. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mint Condition Dental.

The provider's business location address is:

5901 N. LIDGERWOOD
STE 233
SPOKANE, WA
ZIP 99208
Phone: (509) 489-4763
Fax: (509) 489-4767

The provider's authorized official is Marshall F Gibbs .
The authorized official title is Owner and has the following contact phone number (509) 235-2900.

The enumeration date for this NPI number is 6/7/2006 and was last updated on 6/28/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1122300000XDentist60240234WASHINGTONNo
21223G0001XDentistGeneral Practice8853WASHINGTONNo
31223G0001XDentistGeneral Practice8440WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15031968MEDICAIDWASHINGTON

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: 4/28/2024

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