Fircrest Family Dental
Organization Active NPI General Practice Dentistry · Fircrest, WA
NPI 1376010652 · NPPES record last updated Oct 25, 2018
Key facts
- NPI
- 1376010652
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- FIRCREST FAMILY DENTAL
- Practice address
- 4040 Orchard St W Ste 200
Fircrest, WA 98466-6615 - Phone
- (253) 292-0596
- NPI assigned
- Oct 25, 2018
- Organization subpart
- No
Authorized official
- Name
- Nari Lee
- Title
- Office Manager
- Phone
- (253) 292-0596
National Provider Directory
Locations
3670 Bridgeport Way W
#B
University Place, WA 98466
Phone (253) 212-3430
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | Yes |
Addresses
Primary practice location
4040 Orchard St W Ste 200
Fircrest, WA 98466-6615
Mailing address
3670 Bridgeport Way W Unit B
University Place, WA 98466-4413
Phone (253) 212-3430
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023163425 | Medicaid | WA |
Other providers in Fircrest, WA
- Maricris Pang Espino
- Jennifer Marie Evinger
- Family Foundations Counseling
- Family Medical Arts Associates PLLC
- Fircrest Children'S Dentistry
- Fircrest Family Medicine, PLLC
- Fircrest Pharmacy
- Silvia Tina Fradkin
- James Patrick Gagliardi
- Spencer David Garlick
All providers in Fircrest, WA · General Practice Dentistry in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 25, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.