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LINDQUIST DENTAL CLINIC FOR CHILDREN NPI 1265573448


NPI Information

NPI: 1265573448
Provider Name: LINDQUIST DENTAL CLINIC FOR CHILDREN

Former Legal Business Name: CARL E. LINDQUIST SCHOOL CLINIC

Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
130 131ST ST S
TACOMA, WA
ZIP 98444
Phone: (253) 539-7445
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LINDQUIST DENTAL CLINIC FOR CHILDREN is a pediatric dentistry dentist in Tacoma, WA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. LINDQUIST DENTAL CLINIC FOR CHILDREN NPI is 1265573448. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Carl E. Lindquist School Clinic.

The provider's business location address is:

130 131ST ST S
TACOMA, WA
ZIP 98444-804
Phone: (253) 539-7445
Fax: (253) 539-7538

The provider's authorized official is Sherwin R. Shinn .
The authorized official title is Dental Director and has the following contact phone number (253) 539-7445.

The enumeration date for this NPI number is 2/9/2007 and was last updated on 6/18/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0221XDentistPediatric DentistryDE00004723WASHINGTONYes

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
15700109MEDICAIDWASHINGTON

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

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