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VOLUNTEERS IN MEDICINE OF THE OLYMPICS NPI 1881130912


NPI Information

NPI: 1881130912
Provider Name: VOLUNTEERS IN MEDICINE OF THE OLYMPICS

Other Name: VOLUNTEERS IN MEDICINE OF THE OLYMPICS DENTAL

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
819 GEORGIANA ST
PORT ANGELES, WA
ZIP 98362
Phone: (360) 457-4431
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VOLUNTEERS IN MEDICINE OF THE OLYMPICS is a general practice dentist in Port Angeles, 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. VOLUNTEERS IN MEDICINE OF THE OLYMPICS NPI is 1881130912. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Volunteers In Medicine Of The Olympics Dental.

The provider's business location address is:

819 GEORGIANA ST
PORT ANGELES, WA
ZIP 98362-511
Phone: (360) 457-4431
Fax: (360) 457-7755

The provider's authorized official is Mary E Hogan .
The authorized official title is Executive Director and has the following contact phone number (360) 457-4431.

The enumeration date for this NPI number is 1/12/2017 and was last updated on 1/12/2017.


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
11223G0001XDentistGeneral Practice602166835WASHINGTONYes

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
12031476MEDICAIDWASHINGTON

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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