NPIMap

Organization Active NPI

East Tacoma Dental PLLC

  • Dentist
  • Tacoma, WA
National Provider Identifier
1326334178
Registry record updated Jun 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE 60178653 Issued in WA
Legal business name
EAST TACOMA DENTAL PLLC
Practice address
3820 Pacific Ave
Suite 101
Tacoma, WA 98418-7825
Phone
(253) 472-3006
Fax
(253) 472-3011
NPI assigned
Jun 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2011

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

Authorized official

Name
Scott Probst, D.D.S.NPI 1508050923
Title
Dentist
Phone
(253) 472-3006

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DE 60178653 WA Primary

Addresses

Primary practice location

3820 Pacific Ave
Suite 101
Tacoma, WA 98418-7825

Mailing address

3820 Pacific Ave
Suite 101
Tacoma, WA 98418-7825
Phone (253) 472-3006

Other names 1

  • Comfort Dental East Tacoma Doing business as

National Provider Directory

National Provider Directory

Locations

3820 Pacific Ave
Ste 101
Tacoma, WA 98418
Phone (253) 472-3006

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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": "1326334178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 PACIFIC AVE",
            "address_2": "SUITE 101",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984187825",
            "telephone_number": "253-472-3006",
            "fax_number": "253-472-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3820 PACIFIC AVE",
            "address_2": "SUITE 101",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984187825",
            "telephone_number": "253-472-3006",
            "fax_number": "253-472-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST TACOMA DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-21",
        "last_updated": "2011-06-21",
        "status": "A",
        "authorized_official_last_name": "PROBST",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "253-472-3006",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE 60178653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comfort Dental East Tacoma",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tacoma, WA

Sources for this page

  • 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.