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CONDON DENTAL SERVICES PS INC NPI 1760655716


NPI Information

NPI: 1760655716
Provider Name: CONDON DENTAL SERVICES PS INC

Doing Business As: NORTHWEST DENTAL SERVICES

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
5901 N LIDGERWOOD
SUITE 233
SPOKANE, WA
ZIP 99208
Phone: (509) 489-4763
Get Directions

CONDON DENTAL SERVICES PS INC is a general practice dentist in Spokane, 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. CONDON DENTAL SERVICES PS INC NPI is 1760655716. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Northwest Dental Services.

The provider's business location address is:

5901 N LIDGERWOOD
SUITE 233
SPOKANE, WA
ZIP 99208
Phone: (509) 489-4763
Fax: (509) 489-4767

The provider's authorized official is Michael P Condon .
The authorized official title is Owner and has the following contact phone number (509) 926-5272.

The enumeration date for this NPI number is 4/10/2008 and was last updated on 7/16/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeWASHINGTONYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15055512MEDICAIDWASHINGTON

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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