David C. Mace, DDS PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

00007151 Issued in WA

Legal business name

DAVID C. MACE, DDS PLLC

Practice address

1825 S. 324TH Place
Federal Way, WA 98003-8505

Phone

(253) 838-2018

Fax

(253) 838-9175

NPI assigned

Jul 7, 2017

Organization subpart

No

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

Authorized official

Name

Dr. David C. Mace, DDS

Title

Sole Member

Phone

(253) 838-2018

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1499385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499385600000",
    "number": "1114449444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 S. 324TH PLACE",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038505",
            "telephone_number": "253-838-2018",
            "fax_number": "253-838-9175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 S. 324TH PLACE",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038505",
            "telephone_number": "253-838-2018",
            "fax_number": "253-838-9175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID C. MACE, DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-07",
        "last_updated": "2017-07-07",
        "status": "A",
        "authorized_official_last_name": "MACE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "253-838-2018",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "00007151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2017; 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.