PACKARD SORENSON AND MILLER P.L.L.C NPI 1912489659

NPI Information

  • NPI: 1912489659
  • Provider Name: PACKARD SORENSON AND MILLER P.L.L.C
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Doing Business As: LAKESIDE DENTAL GREENACRES
  • Address: 1612 N BARKER RD STE 100
    SPOKANE VALLEY, WA
    ZIP 99016
  • Phone: (509) 922-2211

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NPI Details

PACKARD SORENSON AND MILLER P.L.L.C is a dental clinic center in Spokane Valley, WA. PACKARD SORENSON AND MILLER P.L.L.C NPI is 1912489659. The provider is registered as an organization entity type.
The provider Is Doing Business As Lakeside Dental Greenacres.

The provider's business location address is:

1612 N BARKER RD STE 100
SPOKANE VALLEY, WA
ZIP 99016-036
Phone: (509) 922-2211
Fax: (509) 764-0886

The provider's authorized official is Owen Earl Packard .
The authorized official title is Owner and has the following contact phone number (509) 922-2211.

The enumeration date for this NPI number is 8/29/2018 and was last updated on 10/18/2018.

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
1261QD0000XClinic/CenterDentalYes

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: 3/30/2025

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