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NORTH TACOMA PEDIATRIC DENTISTRY AND ORTHODONTICS LLC NPI 1942663927


NPI Information

NPI: 1942663927
Provider Name: NORTH TACOMA PEDIATRIC DENTISTRY AND ORTHODONTICS LLC

Doing Business As: NORTH TACOMA PEDIATRIC DENTISTRY AND ORTHODONTICS

Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
3402 S 18TH ST
SUITE B
TACOMA, WA
ZIP 98405
Phone: (253) 627-5027
Get Directions

NORTH TACOMA PEDIATRIC DENTISTRY AND ORTHODONTICS LLC is a pediatric dentistry dentist in Tacoma, 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. NORTH TACOMA PEDIATRIC DENTISTRY AND ORTHODONTICS LLC NPI is 1942663927. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As North Tacoma Pediatric Dentistry And Orthodontics.

The provider's business location address is:

3402 S 18TH ST
SUITE B
TACOMA, WA
ZIP 98405-903
Phone: (253) 627-5027
Fax: (253) 383-7747

The provider's authorized official is Mahadeep S Virk .
The authorized official title is Owner Operator and has the following contact phone number (253) 627-5027.

The enumeration date for this NPI number is 3/29/2016 and was last updated on 3/29/2016.


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 Dentistry603591384WASHINGTONYes

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
12010685MEDICAIDWASHINGTON

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.