NPIMap

Organization Active NPI

Arbor Dental

  • Dentist
  • Longview, WA
National Provider Identifier
1356660682
Registry record updated May 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D8959 Issued in WA
Legal business name
ARBOR DENTAL
Practice address
1452 Hudson St
Suite #200
Longview, WA 98632-3066
Phone
(360) 425-9090
Fax
(360) 425-7323
NPI assigned
May 26, 2010
Last updated
May 26, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2010

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

Authorized official

Name
Dr. Steven G Marandas, DMDNPI 1275691834
Title
Owner
Phone
(360) 425-9090

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 MULTIPLE SINGLE SPECIALTY GROUP 122300000X D8959 WA Primary

Addresses

Primary practice location

1452 Hudson St
Suite #200
Longview, WA 98632-3066

Mailing address

1452 Hudson St
Suite #200
Longview, WA 98632-3066
Phone (360) 425-9090

National Provider Directory

National Provider Directory

Locations

1452 Hudson St
Ste 200
Longview, WA 98632
Phone (360) 425-9090

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1274832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274832000000",
    "number": "1356660682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1452 HUDSON ST",
            "address_2": "SUITE #200",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986323066",
            "telephone_number": "360-425-9090",
            "fax_number": "360-425-7323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1452 HUDSON ST",
            "address_2": "SUITE #200",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986323066",
            "telephone_number": "360-425-9090",
            "fax_number": "360-425-7323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARBOR DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-26",
        "last_updated": "2010-05-26",
        "status": "A",
        "authorized_official_last_name": "MARANDAS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-425-9090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "D8959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2010; 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.