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PROSSER DENTISTRY NPI 1487100442


NPI Information

NPI: 1487100442
Provider Name: PROSSER DENTISTRY
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
251 E 5TH AVE STE B
SPOKANE, WA
ZIP 99202
Phone: (509) 744-3244
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PROSSER DENTISTRY is a dental clinic center in Spokane, WA. PROSSER DENTISTRY NPI is 1487100442. The provider is registered as an organization entity type.

The provider's business location address is:

251 E 5TH AVE STE B
SPOKANE, WA
ZIP 99202-327
Phone: (509) 744-3244
Fax: (509) 744-8554

The provider's authorized official is Tracy Gradin .
The authorized official title is Office and has the following contact phone number (509) 744-3244.

The enumeration date for this NPI number is 8/30/2016 and was last updated on 8/30/2016.


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
1261QD0000XClinic/CenterDentalDE00009231WASHINGTONYes

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

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.