Pac Dental Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE9014 Issued in WA

Legal business name

PAC DENTAL INC

Practice address

900 S Jackson St
214
Seattle, WA 98104-3053

Phone

(206) 447-8084

Fax

(206) 223-0855

NPI assigned

Nov 4, 2006

Organization subpart

No

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

Authorized official

Name

Justin S Lee, DDS

Title

President

Phone

(206) 447-8084

Specialties & licenses 1

Addresses

Other names 1

• Pacific Dental Doing business as

Locations

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

{
    "created_epoch": "1162598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508945908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 S JACKSON ST",
            "address_2": "214",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981043053",
            "telephone_number": "206-447-8084",
            "fax_number": "206-223-0855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S JACKSON ST",
            "address_2": "214",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981043053",
            "telephone_number": "206-447-8084",
            "fax_number": "206-223-0855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAC DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-447-8084",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE9014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily Mae Paauw, ARNP
• Wendy L Pabich, MD
• Hannah Labago Pabilonia, CNA, CBT, RBT
• Kleinward Pabingwit
• Pablo R Proano MD PS
• Amy E Pace, PHD, CFY-SLP
• Cynthia Anne Pace, LICSW
• Ehren Michael Pace, D.C.
• Nicole A Pace
• Thomas Pace Jr., CERTIFIED COUNSELOR

• General Practice Dentistry in Seattle, WA
• Providers in Seattle, 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.