Dental Service, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DE00005337 Issued in WA

Legal business name

DENTAL SERVICE, LLC

Practice address

14201 NE 20TH Ave
Suite 2204
Vancouver, WA 98686-6410

Phone

(360) 571-8181

Fax

(360) 573-4022

NPI assigned

Jun 10, 2015

Last updated

Jun 10, 2015By 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

Kevin Boie

Title

Cfo

Phone

(360) 571-8181

Specialties & licenses 1

Addresses

Tax ID family

Gateway Dental Surgery Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Gateway Dental Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Portland, OR
  • NPI 1902287469
  NPD tax ID

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

{
    "created_epoch": "1433894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433894400000",
    "number": "1396126850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14201 NE 20TH AVE",
            "address_2": "SUITE 2204",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986866410",
            "telephone_number": "360-571-8181",
            "fax_number": "360-573-4022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14201 NE 20TH AVE",
            "address_2": "SUITE 2204",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986866410",
            "telephone_number": "360-571-8181",
            "fax_number": "360-573-4022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL SERVICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-10",
        "last_updated": "2015-06-10",
        "status": "A",
        "authorized_official_last_name": "BOIE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "360-571-8181"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE00005337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dental Care Today, P.C.
• Dental Hygiene Mobile Services, PLLC
• Dental Professionals of Washington, Quirt, Mongrain, Gibree, PC (Willow Grove Dental Care)
• Dental Professionals of Washington, Quirt, Mongrain, Gibree, PC (Dental Designs)
• Dental Professionals of Washington, Quirt, Mongrain, Gibree, PC (Dental Care at Brush Prairie)
• Dentistry on the Heights
• Amber Denton, CG
• David Denton, NP
• Tomorrow Lynn Denton, PA-C
• Lenard Gobin Deochand

• Dental Clinic/Center in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2015; 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.