Organization Active NPI

Edward a. Fletcher, D.D.S., P.S.

  • Dental Clinic/Center
  • Tumwater, WA
National Provider Identifier
1366688822
Registry record updated Jan 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
4710 Issued in WA
Legal business name
EDWARD A. FLETCHER, D.D.S., P.S.
Practice address
100 Dennis St SW Ste G
Tumwater, WA 98501-6523
Phone
(360) 786-9354
Fax
(360) 786-8490
NPI assigned
Jan 5, 2009
Last updated
Jan 5, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2009

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

Authorized official

Name
Dr. Edward A Fletcher, D.D.S.
Title
President
Phone
(360) 786-9354

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 4710 WA Primary

Addresses

Primary practice location

100 Dennis St SW Ste G
Tumwater, WA 98501-6523

Mailing address

100 Dennis St SW Ste G
Tumwater, WA 98501-6523
Phone (360) 786-9354

Other identifiers 1

IdentifierTypeStateIssuer
1588877922OtherWANPI NUMBER

Other names 1

  • Tumwater Dental Arts Other name

National Provider Directory

National Provider Directory

Locations

100 Dennis St SW
Ste G
Tumwater, WA 98501
Phone (360) 786-9354

Practitioners & affiliated clinicians

Practitioners 2

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": "1231113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231113600000",
    "number": "1366688822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 DENNIS ST SW STE G",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985016523",
            "telephone_number": "360-786-9354",
            "fax_number": "360-786-8490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DENNIS ST SW STE G",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985016523",
            "telephone_number": "360-786-9354",
            "fax_number": "360-786-8490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD A. FLETCHER, D.D.S., P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-05",
        "last_updated": "2009-01-05",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-786-9354",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "4710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1588877922",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tumwater Dental Arts",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tumwater, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2009; 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.