JOHN BEACK DMD PS NPI 1295083632

NPI Information

NPI: 1295083632
Provider Name: JOHN BEACK DMD PS
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
13210 SE 240TH ST
SUITE B1
KENT, WA
ZIP 98042
Phone: (253) 631-8490
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JOHN BEACK DMD PS is a dental clinic center in Kent, WA. JOHN BEACK DMD PS NPI is 1295083632. The provider is registered as an organization entity type.

The provider's business location address is:

13210 SE 240TH ST
SUITE B1
KENT, WA
ZIP 98042-182
Phone: (253) 631-8490

The provider's authorized official is John Beack .
The authorized official title is President and has the following contact phone number (425) 999-2402.

The enumeration date for this NPI number is 8/15/2012 and was last updated on 8/15/2012.

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	DE00010948	WASHINGTON	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: 5/5/2024

NPI Synchronization or Removal

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