Upshur & Mirmnonsef D.D.S., P.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00009365 Issued in WA

Legal business name

UPSHUR & MIRMNONSEF D.D.S., P.S.

Doing business as

Sound Choice Family Dental

Practice address

7116 Stinson Ave Ste B315
Gig Harbor, WA 98335-1100

Phone

(253) 858-3457

Fax

(253) 853-4265

NPI assigned

Mar 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Conway Littleton Upshur, DDS

Title

Dentist

Phone

(253) 858-3457

Specialties & licenses 1

Addresses

Other names 1

• Sound Choice Family Dental Doing business as

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.

• Ryan Loren Jones, DDS

  • General Practice Dentistry
  • Gig Harbor, WA
  • NPI 1316033160
  NPD (past)
• Marissa Jeanette Manning, RDH

  • Dental Hygienist
  • Gig Harbor, WA
  • NPI 1295862860
  NPD (past)

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467577551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7116 STINSON AVE STE B315",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351100",
            "telephone_number": "253-858-3457",
            "fax_number": "253-853-4265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7116 STINSON AVE STE B315",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351100",
            "telephone_number": "253-858-3457",
            "fax_number": "253-853-4265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSHUR & MIRMNONSEF D.D.S., P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "UPSHUR",
        "authorized_official_first_name": "CONWAY",
        "authorized_official_middle_name": "LITTLETON",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "253-858-3457",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00009365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sound Choice Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Amanda Marie Valadez, LSWAIC
• Amy Valadez, LMT
• Mark Anthony Valdez, LMFT-A
• Kristina Valdivia

• General Practice Dentistry in Gig Harbor, WA
• Providers in Gig Harbor, 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 Aug 22, 2020; 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.