PACIFIC NORTHWEST DENTAL GROUP LLC NPI 1205412467

NPI Information

NPI: 1205412467
Provider Name: PACIFIC NORTHWEST DENTAL GROUP, LLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
2728 WESTMOOR CT SW STE D
OLYMPIA, WA
ZIP 98502
Phone: (360) 995-0025
Get Directions

PACIFIC NORTHWEST DENTAL GROUP, LLC is a dental clinic center in Olympia, WA. PACIFIC NORTHWEST DENTAL GROUP, LLC NPI is 1205412467. The provider is registered as an organization entity type.

The provider's business location address is:

2728 WESTMOOR CT SW STE D
OLYMPIA, WA
ZIP 98502-779
Phone: (360) 995-0025
Fax: (360) 995-0027

The provider's authorized official is Chad Kleven .
The authorized official title is Owner and has the following contact phone number (360) 995-0025.

The enumeration date for this NPI number is 3/18/2021 and was last updated on 3/18/2021.

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			Yes

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

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »