CHARTER COLLEGE LLC NPI 1912279803

NPI Information

NPI: 1912279803
Provider Name: CHARTER COLLEGE LLC

Other Name: CHARTER COLLEGE DENTAL CLINIC

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
410 W BAKERVIEW RD STE 112
BELLINGHAM, WA
ZIP 98226
Phone: (360) 647-5000
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CHARTER COLLEGE LLC is a dental clinic center in Bellingham, WA. CHARTER COLLEGE LLC NPI is 1912279803. The provider is registered as an organization entity type.
The provider Other Name Is Charter College Dental Clinic.

The provider's business location address is:

410 W BAKERVIEW RD STE 112
BELLINGHAM, WA
ZIP 98226-184
Phone: (360) 647-5000
Fax: (360) 647-5002

The provider's authorized official is Michael Dawson .
The authorized official title is President/ceo and has the following contact phone number (775) 737-7403.

The enumeration date for this NPI number is 2/7/2012 and was last updated on 2/7/2012.

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
1	261QD0000X	Clinic/Center	Dental	DE00009350	WASHINGTON	Yes

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: 11/14/2023

NPI Synchronization or Removal

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