RUSSELL S VALENTINE DDS PS INC NPI 1477798544

NPI Information

NPI: 1477798544
Provider Name: RUSSELL S VALENTINE DDS PS INC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
220 S 38TH ST
TACOMA, WA
ZIP 98418
Phone: (253) 475-4631
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RUSSELL S VALENTINE DDS PS INC is a dental clinic center in Tacoma, WA. RUSSELL S VALENTINE DDS PS INC NPI is 1477798544. The provider is registered as an organization entity type.

The provider's business location address is:

220 S 38TH ST
TACOMA, WA
ZIP 98418-807
Phone: (253) 475-4631

The provider's authorized official is Russell S Valentine .
The authorized official title is President and has the following contact phone number (253) 475-4631.

The enumeration date for this NPI number is 12/3/2008 and was last updated on 12/3/2008.

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	7290	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	846654	OTHER	WASHINGTON	UNITED CONCORDIA

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

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