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KIM D NORDBERG DDS PS NPI 1023253424


NPI Information

NPI: 1023253424
Provider Name: KIM D NORDBERG DDS, PS
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
11023 CANYON RD E
PUYALLUP, WA
ZIP 98373
Phone: (253) 535-6666
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KIM D NORDBERG DDS, PS is a general practice dentist in Puyallup, 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. KIM D NORDBERG DDS, PS NPI is 1023253424. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11023 CANYON RD E
PUYALLUP, WA
ZIP 98373-264
Phone: (253) 535-6666
Fax: (253) 535-5432

The provider's authorized official is Kim David Nordberg .
The authorized official title is President and has the following contact phone number (253) 535-6666.

The enumeration date for this NPI number is 12/14/2008 and was last updated on 12/14/2008.


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 Practice5301WASHINGTONYes

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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