Organization Active NPI

Ge Dent DDS PS

  • Dentist
  • Tacoma, WA
National Provider Identifier
1366888992
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
GE DENT DDS PS
Practice address
2614 N. Adams St.
Tacoma, WA 98407-5826
Phone
(253) 759-6800
Fax
(253) 759-0894
NPI assigned
May 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Authorized official

Name
Ms. Jennifer Lea Bush
Title
Office Manager
Phone
(253) 759-6800

Specialties & licenses 1

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

Addresses

Primary practice location

2614 N. Adams St.
Tacoma, WA 98407-5826

Mailing address

P.O. Box 7065
Tacoma, WA 98417-0065
Phone (253) 759-6800

Other names 1

  • Proctor Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

2614 N Adams St
Tacoma, WA 98407
Phone (253) 272-2734

2102 N Pearl St
Ste 202
Tacoma, WA 98406
Phone (253) 752-9833

Practitioners & affiliated clinicians

Practitioners 2

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": "1369180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697587200000",
    "number": "1366888992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 7065",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984170065",
            "telephone_number": "253-759-6800",
            "fax_number": "253-759-0894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2614 N. ADAMS ST.",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984075826",
            "telephone_number": "253-759-6800",
            "fax_number": "253-759-0894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GE DENT DDS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-22",
        "last_updated": "2023-10-18",
        "status": "A",
        "authorized_official_last_name": "BUSH",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "253-759-6800",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Proctor Family Dentistry",
            "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 Oct 18, 2023; 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.