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PUGET SOUND DENTUES NPI 1578740759


NPI Information

NPI: 1578740759
Provider Name: PUGET SOUND DENTUES

Doing Business As: PARKLAND DENTURE CENTER

Classification: Denturist - 122400000X
Entity Type: Organization
Address:
601 N PUGET SOUND AVE
TACOMA, WA
ZIP 98406
Phone: (253) 752-8068
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PUGET SOUND DENTUES is a denturist in Tacoma, WA. The provider is a denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices. PUGET SOUND DENTUES NPI is 1578740759. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Parkland Denture Center.

The provider's business location address is:

601 N PUGET SOUND AVE
TACOMA, WA
ZIP 98406-425
Phone: (253) 752-8068
Fax: (253) 756-3219

The provider's authorized official is Joey E. Berlanga .
The authorized official title is Owner/president and has the following contact phone number (253) 752-8068.

The enumeration date for this NPI number is 1/30/2008 and was last updated on 4/20/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1122400000XDenturistDN00000135WASHINGTONYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========OTHERWASHINGTONWDS
25022694MEDICAIDWASHINGTON
3=========OTHERWASHINGTONVA
4=========OTHERWASHINGTONSTANDARD INS
5=========OTHERWASHINGTONCIGNA

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

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