AA BANSAL PLLC NPI 1356596811

NPI Information

NPI: 1356596811
Provider Name: AA BANSAL PLLC

Doing Business As: PEDIATRIC HOSPITAL DENTISTRY

Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
317 MARTIN LUTHER KING JR WAY
TACOMA, WA
ZIP 98405
Phone: (253) 326-7777
Get Directions

AA BANSAL PLLC 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. AA BANSAL PLLC NPI is 1356596811. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Pediatric Hospital Dentistry.

The provider's business location address is:

317 MARTIN LUTHER KING JR WAY
TACOMA, WA
ZIP 98405-234
Phone: (253) 326-7777
Fax: (866) 528-2025

The provider's authorized official is Shradha Bansal .
The authorized official title is Dentist and has the following contact phone number (425) 830-4773.

The enumeration date for this NPI number is 11/25/2008 and was last updated on 11/21/2013.

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	1223P0221X	Dentist	Pediatric Dentistry	602840244	WASHINGTON	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5058490	MEDICAID	WASHINGTON

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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