THE MOBILE TOOTH FAIRY P.S. NPI 1568803146

NPI Information

NPI: 1568803146
Provider Name: THE MOBILE TOOTH FAIRY P.S.

Doing Business As: MOBILE DENTAL HYGIENE SERVICE

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
6610 89TH STREET CT E
PUYALLUP, WA
ZIP 98371
Phone: (253) 444-7112
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THE MOBILE TOOTH FAIRY P.S. is an assisted living facility in Puyallup, WA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. THE MOBILE TOOTH FAIRY P.S. NPI is 1568803146. The provider is registered as an organization entity type.
The provider Is Doing Business As Mobile Dental Hygiene Service.

The provider's business location address is:

6610 89TH STREET CT E
PUYALLUP, WA
ZIP 98371-222
Phone: (253) 444-7112

The provider's authorized official is Nicole Lee Fink .
The authorized official title is President/owner and has the following contact phone number (253) 444-7112.

The enumeration date for this NPI number is 7/11/2013 and was last updated on 7/11/2013.

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	Primary
1	261QA0600X	Clinic/Center	Adult Day Care	No
2	261QC1500X	Clinic/Center	Community Health	No
3	261QD0000X	Clinic/Center	Dental	No
4	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
5	261QP0905X	Clinic/Center	Public Health, State or Local	No
6	261QV0200X	Clinic/Center	VA	No
7	3104A0625X	Assisted Living Facility	Assisted Living, Mental Illness	No
8	3104A0630X	Assisted Living Facility	Assisted Living, Behavioral Disturbances	No
9	310500000X	Intermediate Care Facility, Mental Illness		No
10	311500000X	Alzheimer Center (Dementia Center)		No
11	311ZA0620X	Custodial Care Facility	Adult Care Home	No
12	313M00000X	Nursing Facility/Intermediate Care Facility		No
13	314000000X	Skilled Nursing Facility		No
14	315P00000X	Intermediate Care Facility, Intellectual Disabilities		No
15	310400000X	Assisted Living Facility		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	1447592381	OTHER	WASHINGTON	NPI

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

NPI Synchronization or Removal

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