Organization Active NPI

Moss & Tebay, PLLC

Doing business as Dr T Dental

  • General Practice Dentistry
  • Olympia, WA
National Provider Identifier
1629842208
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MOSS & TEBAY, PLLC
Doing business as
Dr T Dental
Dr. T Dental
Practice address
1020 5TH Ave SW
Olympia, WA 98502-5483
Phone
(360) 529-0035
NPI assigned
Nov 14, 2023
Last updated
Nov 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Authorized official

Name
Dawn Quesada
Title
Office Manager
Phone
(360) 357-8075

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

1020 5TH Ave SW
Olympia, WA 98502-5483

Mailing address

1020 5TH Ave SW
Olympia, WA 98502-5483
Phone (360) 529-0035

Other names 2

  • Dr T Dental Doing business as
  • Dr. T Dental Doing business as

National Provider Directory

National Provider Directory

Locations

1020 5th Ave SW
Olympia, WA 98502
Phone (360) 943-0623

NPI Registry JSON

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

{
    "created_epoch": "1699920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699920000000",
    "number": "1629842208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 5TH AVE SW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985025483",
            "telephone_number": "360-529-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 5TH AVE SW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985025483",
            "telephone_number": "360-529-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSS & TEBAY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-14",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A",
        "authorized_official_last_name": "QUESADA",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "360-357-8075"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr T Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dr. T Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; 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.