Active NPI
Carol Luong DMD PLLC
Doing business as Pacific Dental Center
- General Practice Dentistry
- Lacey, WA
National Provider Identifier
1598432015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- CAROL LUONG DMD PLLC
- Doing business as
- Pacific Dental Center
- Practice address
- 730 Sleater Kinney Rd SE Ste H
Lacey, WA 98503-1144 - Phone
- (360) 491-7888
- NPI assigned
- Aug 24, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carol Luong, DMD
- Title
- Owner
- Phone
- (360) 359-0566
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
730 Sleater Kinney Rd SE Ste H
Lacey, WA 98503-1144
Mailing address
1043 Chatham Dr SE
Olympia, WA 98513-7730
Phone (360) 359-0566
Other names 1
- Pacific Dental Center
National Provider Directory
National Provider DirectoryLocations
730 Sleater Kinney Rd SE
Ste H
Lacey, WA 98503
Phone (360) 491-7888
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Aurora, CO
- NPI 1134610025
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629763200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1629763200000",
"number": "1598432015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1043 CHATHAM DR SE",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985137730",
"telephone_number": "360-359-0566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "730 SLEATER KINNEY RD SE STE H",
"city": "LACEY",
"state": "WA",
"postal_code": "985031144",
"telephone_number": "360-491-7888"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROL LUONG DMD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-24",
"last_updated": "2021-08-24",
"certification_date": "2021-08-23",
"status": "A",
"authorized_official_last_name": "LUONG",
"authorized_official_first_name": "CAROL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "360-359-0566",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Pacific Dental Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lacey, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.