KURT TRUONG DDS MSD PLLC NPI 1093268161

NPI Information

NPI: 1093268161
Provider Name: KURT TRUONG, DDS, MSD, PLLC

Doing Business As: PLEASANT VALLEY PEDIATRIC DENTISTRY

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

Specialization: Dental

Address:
14201 NE 20TH AVE
SUITE 3102
VANCOUVER, WA
ZIP 98686
Phone: (360) 573-3176
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KURT TRUONG, DDS, MSD, PLLC is a dental clinic center in Vancouver, WA. KURT TRUONG, DDS, MSD, PLLC NPI is 1093268161. The provider is registered as an organization entity type.
The provider Is Doing Business As Pleasant Valley Pediatric Dentistry.

The provider's business location address is:

14201 NE 20TH AVE
SUITE 3102
VANCOUVER, WA
ZIP 98686-410
Phone: (360) 573-3176
Fax: (360) 571-3276

The provider's authorized official is Kurt Truong .
The authorized official title is Owner and has the following contact phone number (360) 573-3176.

The enumeration date for this NPI number is 7/25/2016 and was last updated on 7/25/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	DE60299879	WASHINGTON	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2049798	MEDICAID	WASHINGTON

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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