North Lakewood Dental PLCC

Primary specialty

DentistTaxonomy code 122300000X

License

DE 60198294 Issued in WA

Legal business name

NORTH LAKEWOOD DENTAL PLCC

Doing business as

Comfort Dental North Lakewood

Practice address

5422 74TH St W
Suite B & C
Lakewood, WA 98499-7900

Phone

(253) 475-9120

Fax

(253) 475-9284

NPI assigned

Jun 21, 2011

Last updated

Jun 21, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Travis Probst, D.D.S.

Title

Dentist

Phone

(253) 475-9120

Specialties & licenses 1

Addresses

Other names 1

• Comfort Dental North Lakewood Doing business as

Locations

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308614400000",
    "number": "1154617942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5422 74TH ST W",
            "address_2": "SUITE B & C",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984997900",
            "telephone_number": "253-475-9120",
            "fax_number": "253-475-9284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5422 74TH ST W",
            "address_2": "SUITE B & C",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984997900",
            "telephone_number": "253-475-9120",
            "fax_number": "253-475-9284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH LAKEWOOD DENTAL PLCC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-21",
        "last_updated": "2011-06-21",
        "status": "A",
        "authorized_official_last_name": "PROBST",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "253-475-9120",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE 60198294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comfort Dental North Lakewood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cherisse Norberte, PHARMD
• Desire Norman
• Kendra Carolyn Norman, DPT
• Amber M Norris
• Jessica Norris, LMP
• Eva Northcutt
• Sedaya Northern, MS
• Weston Alexander Northrop
• Kathleen Northrup, BS
• Northwest Optical Vision Center Inc. (Northwest Optical)

• Dentist in Lakewood, WA
• Providers in Lakewood, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2011; 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.