Organization Active NPI

Steven S. Broughton, D.D.S. & Angela L. Dunn, D.D.S., P.L.L.C.

Doing business as Light Dental Studios

  • Dentist
  • Puyallup, WA
National Provider Identifier
1003210014
Registry record updated Oct 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE7977 Issued in WA
Legal business name
STEVEN S. BROUGHTON, D.D.S. & ANGELA L. DUNN, D.D.S., P.L.L.C.
Doing business as
Light Dental Studios
Practice address
8012 112TH Street CT E
Suite #320
Puyallup, WA 98373-7856
Phone
(253) 848-2331
Fax
(253) 840-4033
NPI assigned
Oct 20, 2014
Last updated
Oct 20, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Angela Dunn, DDSNPI 1013147297
Title
Dentist & Partner
Phone
(253) 848-2331

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X DE60098994 WA
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X DE7977 WA Primary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X DE60096180 WA
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X DE60171760 WA
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X DE60223497 WA
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X DE60301791 WA
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X DE60365691 WA
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X DE60237858 WA
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X DE60387807 WA
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X DE8497 WA
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X DE60244633 WA
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X DE60485870 WA

Addresses

Primary practice location

8012 112TH Street CT E
Suite #320
Puyallup, WA 98373-7856

Mailing address

8012 112TH Street CT E
Suite #320
Puyallup, WA 98373-7856
Phone (253) 848-2331

Other names 1

  • Light Dental Studios Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Broughton Dunn PLLC9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1413763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413763200000",
    "number": "1003210014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8012 112TH STREET CT E",
            "address_2": "SUITE #320",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983737856",
            "telephone_number": "253-848-2331",
            "fax_number": "253-840-4033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8012 112TH STREET CT E",
            "address_2": "SUITE #320",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983737856",
            "telephone_number": "253-848-2331",
            "fax_number": "253-840-4033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN S. BROUGHTON, D.D.S. & ANGELA L. DUNN, D.D.S., P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-20",
        "last_updated": "2014-10-20",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "DENTIST & PARTNER",
        "authorized_official_telephone_number": "253-848-2331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60098994",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE7977",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60096180",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60171760",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60223497",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60301791",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60365691",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60237858",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60387807",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE8497",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60244633",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60485870",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Light Dental Studios",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.