KITSAP DENTAL NPI 1194223537

NPI Information

NPI: 1194223537
Provider Name: KITSAP DENTAL
Classification: Clinic/Center - 261QD0000X
Specialization: Dental
Entity Type: Organization
Address: 20730 BOND RD NE STE 100
POULSBO, WA
ZIP 98370
Phone: (360) 779-2420

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NPI Details

KITSAP DENTAL is a dental clinic center in Poulsbo, WA. KITSAP DENTAL NPI is 1194223537. The provider is registered as an organization entity type.

The provider's business location address is:

20730 BOND RD NE STE 100
POULSBO, WA
ZIP 98370-000
Phone: (360) 779-2420
Fax: (360) 779-6219

The provider's authorized official is Lois Lee .
The authorized official title is Dentist and has the following contact phone number (360) 779-2420.

The enumeration date for this NPI number is 1/31/2018 and was last updated on 1/31/2018.

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	60080602	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	60080602	OTHER	WASHINGTON	LICENSE NUMBER

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: 3/30/2025

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