Dr Allan Hablutzel

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5706 Issued in WA

Legal business name

DR ALLAN HABLUTZEL

Practice address

820 Pacific Ave
Ste 204
Bremerton, WA 98337

Phone

(360) 373-3515

Fax

(360) 373-2176

NPI assigned

Aug 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Allan Lee Hablutzel, DDSNPI 1659792265

Title

Dentist Owner

Phone

(360) 373-3515

Specialties & licenses 1

Addresses

Other names 1

• Pacific Avenue Dental Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Allan L Hablutzel, D.D.S.

  • General Practice Dentistry
  • Bremerton, WA
  • NPI 1659792265
  NPD (past) Authorized official

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336435200000",
    "number": "1023123726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 PACIFIC AVE",
            "address_2": "STE 204",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "98337",
            "telephone_number": "360-373-3515",
            "fax_number": "360-373-2176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 PACIFIC AVE",
            "address_2": "STE 204",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "98337",
            "telephone_number": "360-373-3515",
            "fax_number": "360-373-2176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ALLAN HABLUTZEL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2012-05-08",
        "status": "A",
        "authorized_official_last_name": "HABLUTZEL",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "360-373-3515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "5706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Avenue Dental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• General Practice Dentistry in Bremerton, WA
• Providers in Bremerton, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2012; 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.