Town Square Dentistry

Primary specialty

DentistTaxonomy code 122300000X

License

DE00005907 Issued in WA

Legal business name

TOWN SQUARE DENTISTRY

Practice address

610 SW 152ND St
Burien, WA 98166-2213

Phone

(206) 241-2091

Fax

(206) 241-1908

NPI assigned

May 3, 2013

Last updated

May 3, 2013By 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

Michelle Hunter

Title

Business Manager

Phone

(206) 241-2091

Specialties & licenses 2

Addresses

Locations

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.

• Randall Clark Olson, DDS

  • General Practice Dentistry
  • Burien, WA
  • NPI 1578632139
  NPD (past)
• Lindsey Tucker Papac, D.D.S.

  • Dentist
  • Auburn, WA
  • NPI 1710213509
  NPD (past)

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

{
    "created_epoch": "1367539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367539200000",
    "number": "1437594488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 SW 152ND ST",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981662213",
            "telephone_number": "206-241-2091",
            "fax_number": "206-241-1908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 SW 152ND ST",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981662213",
            "telephone_number": "206-241-2091",
            "fax_number": "206-241-1908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN SQUARE DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-03",
        "last_updated": "2013-05-03",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "206-241-2091"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60099970",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00005907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breanne Marie Toney, CCC-SLP
• Toni Calvo Waldbaum DDS PS
• Jessica Torres
• Aracely Torrico, CN
• Jeanine Totten
• Dylan Tracy, D.O.
• Brian Landon Tran
• David Vu Tran, PHARMD.
• Duc-Tam Le Tran, PHARMD
• Hung Viet Tran, MD

• Dentist in Burien, WA
• Providers in Burien, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2013; 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.