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SPECKHARDTS DENTAL LAB INC NPI 1902078421


NPI Information

NPI: 1902078421
Provider Name: SPECKHARDTS DENTAL LAB INC

Doing Business As: DENTURE & DENTAL CARE

Classification: Denturist - 122400000X
Entity Type: Organization
Address:
219 4TH AVE SE
PUYALLUP, WA
ZIP 98372
Phone: (253) 845-7001
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SPECKHARDTS DENTAL LAB INC is a denturist in Puyallup, 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. SPECKHARDTS DENTAL LAB INC NPI is 1902078421. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Denture & Dental Care.

The provider's business location address is:

219 4TH AVE SE
PUYALLUP, WA
ZIP 98372
Phone: (253) 845-7001
Fax: (253) 770-6212

The provider's authorized official is Tom T Speckhardt .
The authorized official title is President and has the following contact phone number (253) 845-7001.

The enumeration date for this NPI number is 3/25/2008 and was last updated on 3/25/2008.


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
1122400000XDenturistDN00000132WASHINGTONYes

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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