Dr. Theresa E. Madden & Associates, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

00009862 Issued in WA

Legal business name

DR. THERESA E. MADDEN & ASSOCIATES, PLLC

Practice address

304 W Bay Dr NW
Suite 201
Olympia, WA 98502-4953

Phone

(360) 459-5900

Fax

(360) 459-8720

NPI assigned

Mar 23, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Theresa E. Madden, DDS, PHD

Title

Owner

Phone

(360) 459-5900

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1332460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365724800000",
    "number": "1043586019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 W BAY DR NW",
            "address_2": "SUITE 201",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985024953",
            "telephone_number": "360-459-5900",
            "fax_number": "360-459-8720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 W BAY DR NW",
            "address_2": "SUITE 201",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985024953",
            "telephone_number": "360-459-5900",
            "fax_number": "360-459-8720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. THERESA E. MADDEN & ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-23",
        "last_updated": "2013-04-12",
        "status": "A",
        "authorized_official_last_name": "MADDEN",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-459-5900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, PHD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "00009862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Tonya M Drennan, MFTA
• Alta Dretsch

• Dental Clinic/Center in Olympia, WA
• Providers in Olympia, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2013; 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.