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PENNY C WALPOLE DDS PS NPI 1376572511


NPI Information

NPI: 1376572511
Provider Name: PENNY C WALPOLE DDS PS
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
15701 E SPRAGUE AVE
STE F
VERADALE, WA
ZIP 99037
Phone: (509) 922-4809
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PENNY C WALPOLE DDS PS is a general practice dentist in Veradale, WA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. PENNY C WALPOLE DDS PS NPI is 1376572511. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

15701 E SPRAGUE AVE
STE F
VERADALE, WA
ZIP 99037
Phone: (509) 922-4809
Fax: (509) 922-8718

The provider's authorized official is Penny C Walpole .
The authorized official title is President and has the following contact phone number (509) 922-4809.

The enumeration date for this NPI number is 7/1/2006 and was last updated on 8/22/2020.


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
11223G0001XDentistGeneral PracticeDE7995WASHINGTONYes

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

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