STEVEN P MARINKOVICH DDS NPI 1629328638

NPI Information

NPI: 1629328638
Provider Name: STEVEN P MARINKOVICH DDS

Other Name: EVERGREEN DENTAL CENTER

Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

Address:
5225 TACOMA MALL BLVD
SUITE E-104
TACOMA, WA
ZIP 98409
Phone: (253) 474-3223
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STEVEN P MARINKOVICH DDS is a customized equipment durable medical equipment medical supplies in Tacoma, WA. STEVEN P MARINKOVICH DDS NPI is 1629328638. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Evergreen Dental Center.

The provider's business location address is:

5225 TACOMA MALL BLVD
SUITE E-104
TACOMA, WA
ZIP 98409-018
Phone: (253) 474-3223
Fax: (253) 473-6762

The provider's authorized official is Steven P Marinkovich .
The authorized official title is Owner/doctor and has the following contact phone number (253) 474-3223.

The enumeration date for this NPI number is 9/17/2012 and was last updated on 2/14/2014.

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	1223G0001X	Dentist	General Practice			No
2	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment	DE00004767	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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