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LIGHT DENTAL STUDIOS NPI 1689053159


NPI Information

NPI: 1689053159
Provider Name: LIGHT DENTAL STUDIOS
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
8012 112TH STREET CT E
SUITE #320
PUYALLUP, WA
ZIP 98373
Phone: (253) 848-2331
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LIGHT DENTAL STUDIOS is a general practice dentist in Puyallup, WA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. LIGHT DENTAL STUDIOS NPI is 1689053159. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8012 112TH STREET CT E
SUITE #320
PUYALLUP, WA
ZIP 98373-856
Phone: (253) 848-2331

The provider's authorized official is Angie Dunn .
The authorized official title is Part Owner / Practicing Dentist and has the following contact phone number (253) 848-2331.

The enumeration date for this NPI number is 5/29/2015 and was last updated on 5/29/2015.


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
11223G0001XDentistGeneral PracticeYes

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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