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COVINGTON ORTHODONTICS AND PEDIATRIC DENTISTRY L.L.C. NPI 1780121673


NPI Information

NPI: 1780121673
Provider Name: COVINGTON ORTHODONTICS AND PEDIATRIC DENTISTRY L.L.C.
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

CLIA Number: 50D0630585

Address:
17121 SE 270TH PL
STE 102
COVINGTON, WA
ZIP 98042
Phone: (253) 533-2999
Get Directions

COVINGTON ORTHODONTICS AND PEDIATRIC DENTISTRY L.L.C. is a pediatric dentistry dentist in Covington, WA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. COVINGTON ORTHODONTICS AND PEDIATRIC DENTISTRY L.L.C. NPI is 1780121673. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

17121 SE 270TH PL
STE 102
COVINGTON, WA
ZIP 98042-431
Phone: (253) 533-2999

The provider's authorized official is Mahadeep Virk .
The authorized official title is Owner and has the following contact phone number (206) 786-5351.

The CLIA number assigned to this NPI record is 50D0630585 - other with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 1/30/2017 and was last updated on 2/14/2017.


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 License Number License State Primary
11223P0221XDentistPediatric DentistryYes
21223X0400XDentistOrthodontics and Dentofacial OrthopedicsNo

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: 5/5/2024

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