Organization Active NPI

Carol Luong DMD PLLC

Doing business as Pacific Dental Center

  • General Practice Dentistry
  • Lacey, WA
National Provider Identifier
1598432015
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
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

Updated by the provider on Aug 24, 2021

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

Authorized official

Name
Carol Luong, DMDNPI 1134610025
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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.