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SOUTH HILL CHILDRENS DENTISTRY NPI 1821159047


NPI Information

NPI: 1821159047
Provider Name: SOUTH HILL CHILDRENS DENTISTRY
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
11102 SUNRISE BLVD E
SUITE 108
PUYALLUP, WA
ZIP 98374
Phone: (253) 848-1022
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SOUTH HILL CHILDRENS DENTISTRY is a pediatric dentistry dentist in Puyallup, 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. SOUTH HILL CHILDRENS DENTISTRY NPI is 1821159047. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11102 SUNRISE BLVD E
SUITE 108
PUYALLUP, WA
ZIP 98374-846
Phone: (253) 848-1022
Fax: (253) 848-0218

The provider's authorized official is James L Miller .
The authorized official title is Owner and has the following contact phone number (253) 848-1022.

The enumeration date for this NPI number is 12/12/2006 and was last updated on 8/22/2020.


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
11223P0221XDentistPediatric Dentistry6837WASHINGTONYes

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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