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SOUTH HILL PERIODONTICS NPI 1629524061


NPI Information

NPI: 1629524061
Provider Name: SOUTH HILL PERIODONTICS
Classification: Dentist - 1223P0300X
Entity Type: Organization

Specialization: Periodontics

CLIA Number: 50D2166751

Address:
2700 S SOUTHEAST BLVD
SUITE 210
SPOKANE, WA
ZIP 99223
Phone: (509) 536-7032
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SOUTH HILL PERIODONTICS is a periodontics dentist in Spokane, WA. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. SOUTH HILL PERIODONTICS NPI is 1629524061. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2700 S SOUTHEAST BLVD
SUITE 210
SPOKANE, WA
ZIP 99223-984
Phone: (509) 536-7032
Fax: (509) 536-7002

The provider's authorized official is Anthony Giardino .
The authorized official title is Owner and has the following contact phone number (509) 536-7032.

The CLIA number assigned to this NPI record is 50D2166751 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/26/2016 and was last updated on 8/26/2016.


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
11223P0300XDentistPeriodonticsYes

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

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