TACOMA DENTAL AND IMPLANT CENTER PS NPI 1972918399

NPI Information

NPI: 1972918399
Provider Name: TACOMA DENTAL AND IMPLANT CENTER PS

Doing Business As: TACOMA DENTAL AND IMPLANT CENTER PS

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
4704 SOUTH OAKES ST #103
TACOMA, WA
ZIP 98409
Phone: (253) 472-0152
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TACOMA DENTAL AND IMPLANT CENTER PS is a dental clinic center in Tacoma, WA. TACOMA DENTAL AND IMPLANT CENTER PS NPI is 1972918399. The provider is registered as an organization entity type.
The provider Is Doing Business As Tacoma Dental And Implant Center Ps.

The provider's business location address is:

4704 SOUTH OAKES ST #103
TACOMA, WA
ZIP 98409
Phone: (253) 472-0152

The provider's authorized official is Yuriy Bagdasarov .
The authorized official title is Owner and has the following contact phone number (253) 472-0152.

The enumeration date for this NPI number is 6/24/2014 and was last updated on 6/24/2014.

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	261QD0000X	Clinic/Center	Dental	DE00008641	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: 4/28/2024

NPI Synchronization or Removal

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