Ehrmantrout & Davidson, PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DE60112868 Issued in WA

Legal business name

EHRMANTROUT & DAVIDSON, PLLC

Practice address

8685 Martin Way E Ste 101
Lacey, WA 98516-5857

Phone

(360) 489-1406

Fax

(360) 491-1270

NPI assigned

May 6, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Kenneth A Bloch

Title

Attorney

Phone

(206) 682-3840

Specialties & licenses 1

Addresses

Other names 1

• Hawks Prairie Pediatric Dentistry/ West Olympia Kids Dentistry Doing business as

Locations

Practitioners 1

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

• Bo M Davidson, D.D.S., M.S.

  • Pediatric Dentistry
  • Lacey, WA
  • NPI 1487827275
  NPD (past)

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

{
    "created_epoch": "1367798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537488000000",
    "number": "1134564032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8685 MARTIN WAY E STE 101",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985165857",
            "telephone_number": "360-489-1406",
            "fax_number": "360-491-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8685 MARTIN WAY E STE 101",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985165857",
            "telephone_number": "360-489-1406",
            "fax_number": "360-491-1270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EHRMANTROUT & DAVIDSON, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-06",
        "last_updated": "2018-09-21",
        "status": "A",
        "authorized_official_last_name": "BLOCH",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ATTORNEY",
        "authorized_official_telephone_number": "206-682-3840",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "DE60112868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hawks Prairie Pediatric Dentistry/ West Olympia Kids Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hawks Prairie Pediatric Dentistry/ West Olympia Kids Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer F Edwards, MSPT
• Lee Johanna Edwards, DDS
• Stacie Lynn Edwards
• Michael David Eekhoff, D.C.
• Brett Egan
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• Elevate Sports and Spine Physical Therapy, PLLC
• Elizabeth Manchester DDS PLLC
• Jason R Eller, LICSWA, MSW
• Jamil Ellinger, LMP

• Pediatric Dentistry in Lacey, WA
• Providers in Lacey, WA by specialty
• Pediatric Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2018; 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.