Vancouver Dental Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

602806065 Issued in WA

Legal business name

VANCOUVER DENTAL SURGERY CENTER

Practice address

14411 NE 20TH Ave
Suite 107
Vancouver, WA 98686-6431

Phone

(360) 604-9000

Fax

(360) 604-9000

NPI assigned

May 5, 2014

Organization subpart

Yes

Parent organization

NEIL & HILLYARD PLLCAs reported in NPPES

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

Authorized official

Name

Dr. David Stephen Neil, D.D.S.

Title

Co-President

Phone

(360) 604-9000

Specialties & licenses 1

Addresses

Part of

Vancouver Dental Surgery Center

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

{
    "created_epoch": "1399248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412812800000",
    "number": "1124438684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14411 NE 20TH AVE",
            "address_2": "SUITE 107",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986866431",
            "telephone_number": "360-604-9000",
            "fax_number": "360-573-1417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14411 NE 20TH AVE",
            "address_2": "SUITE 107",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986866431",
            "telephone_number": "360-604-9000",
            "fax_number": "360-604-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANCOUVER DENTAL SURGERY CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEIL & HILLYARD PLLC",
        "enumeration_date": "2014-05-05",
        "last_updated": "2014-10-09",
        "status": "A",
        "authorized_official_last_name": "NEIL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "CO-PRESIDENT",
        "authorized_official_telephone_number": "360-604-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "WA",
            "license": "602806065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vancouver Contact Lens & Vision Clinic Inc
• Vancouver Counseling Associates, LLC
• Vancouver Counseling Group
• Vancouver Dental Care, L.L.C.
• Vancouver Dental LLC
• Vancouver Ear, Nose & Throat Head & Neck Surgery Clinic, PS
• Vancouver Ear, Nose & Throat Head & Neck Surgery Clinic, PS
• Vancouver Ear, Nose & Throat Head & Neck Surgery Clinic, PS
• Vancouver Ear, Nose & Throat Head & Neck Surgery Clinic, PS
• Vancouver Emdr Therapy, PLLC

• Ambulatory Surgical Clinic/Center in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Ambulatory Surgical Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.