DENNIS LANE HOOFNAGLE NPI 1417101197

NPI Information

NPI: 1417101197
Provider Name: DENNIS LANE HOOFNAGLE
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
911 N FOREST ST
BELLINGHAM, WA
ZIP 98225
Phone: (360) 676-1651
Get Directions

DENNIS LANE HOOFNAGLE is a dental clinic center in Bellingham, WA. DENNIS LANE HOOFNAGLE NPI is 1417101197. The provider is registered as an organization entity type.

The provider's business location address is:

911 N FOREST ST
BELLINGHAM, WA
ZIP 98225-507
Phone: (360) 676-1651
Fax: (360) 676-4065

The provider's authorized official is Dennis Lane Hoofnagle .
The authorized official title is Owner and has the following contact phone number (360) 676-1651.

The enumeration date for this NPI number is 11/8/2008 and was last updated on 11/8/2008.

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	DE00003572	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	5325709	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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