SNOQUALMIE FAMILY DENTISTRY NPI 1548716830

NPI Information

NPI: 1548716830
Provider Name: SNOQUALMIE FAMILY DENTISTRY
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

CLIA Number: 50D0630977

Address:
38475 SE RIVER STREET
SNOQUALMIE, WA
ZIP 98065
Phone: (425) 888-2684
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SNOQUALMIE FAMILY DENTISTRY is a dental clinic center in Snoqualmie, WA. SNOQUALMIE FAMILY DENTISTRY NPI is 1548716830. The provider is registered as an organization entity type.

The provider's business location address is:

38475 SE RIVER STREET
SNOQUALMIE, WA
ZIP 98065
Phone: (425) 888-2684
Fax: (425) 831-2119

The provider's authorized official is Peter J Ristuben .
The authorized official title is Owner/dentist and has the following contact phone number (425) 888-2684.

The CLIA number assigned to this NPI record is 50D0630977 - hospital with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 8/28/2016 and was last updated on 8/28/2016.

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	DE00006388	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: 11/14/2023

NPI Synchronization or Removal

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