THALIA-RAE CRIDDLE PLLC NPI 1063181709

NPI Information

  • NPI: 1063181709
  • Provider Name: THALIA-RAE CRIDDLE PLLC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Doing Business As: CRIDDLE CONCIERGE
  • Address: 1625 SE 192ND AVE STE 205
    CAMAS, WA
    ZIP 98607
  • Phone: (617) 762-6661

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NPI Details

THALIA-RAE CRIDDLE PLLC is a dental clinic center in Camas, WA. THALIA-RAE CRIDDLE PLLC NPI is 1063181709. The provider is registered as an organization entity type.
The provider Is Doing Business As Criddle Concierge.

The provider's business location address is:

1625 SE 192ND AVE STE 205
CAMAS, WA
ZIP 98607-441
Phone: (617) 762-6661

The provider's authorized official is Thalia-rae Criddle .
The authorized official title is Owner and has the following contact phone number (617) 762-6661.

The enumeration date for this NPI number is 9/7/2021 and was last updated on 5/2/2024.

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
1261QD0000XClinic/CenterDentalYes

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: 11/21/2025

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