South Tacoma Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE60178653 Issued in WA

Legal business name

SOUTH TACOMA DENTAL LLC

Doing business as

Comfort Dental South Tacoma

Practice address

223 140TH St S
Tacoma, WA 98444

Phone

(253) 537-1559

Fax

(253) 472-3016

NPI assigned

Dec 6, 2012

Last updated

Feb 21, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Matthew Nuttall

Title

Partner/Owner

Phone

(253) 537-1559

Specialties & licenses 1

Addresses

Other names 1

• Comfort Dental South Tacoma Doing business as

Locations

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

{
    "created_epoch": "1354752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676937600000",
    "number": "1396080032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 140TH ST S",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98444",
            "telephone_number": "253-537-1559",
            "fax_number": "253-472-3016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 140TH ST S",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98444",
            "telephone_number": "253-537-1559",
            "fax_number": "253-472-3016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH TACOMA DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-06",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A",
        "authorized_official_last_name": "NUTTALL",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PARTNER/OWNER",
        "authorized_official_telephone_number": "253-537-1559"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60178653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comfort Dental South Tacoma",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Comfort Dental South Tacoma",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• South Sound Inpatient Physicians PLLC (Sound Inpatient Physicians)
• South Sound Inpatient Physicians, PLLC
• South Sound Medical Clinic Inc
• South Sound Pediatric Occupational Therapy
• South Tacoma Chiropractic and Rehabilitation, PLLC
• Frances Rose Southall, LMP
• Southwest Arkansas Dialysis
• Southwest Portland Medical Clinic Inc
• Courtney Allyson Souza
• Patricia L Sowards

• General Practice Dentistry in Tacoma, WA
• Providers in Tacoma, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.