Renton Denture Clinic LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

6348 Issued in WA

Legal business name

RENTON DENTURE CLINIC LLC

Practice address

419 S 4TH St
Renton, WA 98055-2541

Phone

(425) 271-7740

Fax

(425) 271-9828

NPI assigned

Apr 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Paul A Chilton, DDS

Title

Owner

Phone

(425) 271-7740

Specialties & licenses 1

Addresses

Other names 1

• Renton Denture Clinic Doing business as

Locations

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356560593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 S 4TH ST",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980552541",
            "telephone_number": "425-271-7740",
            "fax_number": "425-271-9828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 S 4TH ST",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980552541",
            "telephone_number": "425-271-7740",
            "fax_number": "425-271-9828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENTON DENTURE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHILTON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-271-7740",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "6348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renton Denture Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dental Clinic/Center in Renton, WA
• Providers in Renton, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.