Tacoma Endodontic Studio

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

TACOMA ENDODONTIC STUDIO

Doing business as

Tacoma Endodontic Studio

Practice address

1550 S Union Ave
Ste 110
Tacoma, WA 98405-1946

Phone

(253) 572-3266

Fax

(253) 572-7878

NPI assigned

Oct 4, 2022

Last updated

Oct 4, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Victor Marfo, DDS, PS

Title

Owner

Phone

(253) 572-3266

Specialties & licenses 1

Addresses

Other names 1

• Tacoma Endodontic Studio Doing business as

Locations

Practitioners 1

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.

• Roy Norman Kaldestad, DDS

  • Endodontics
  • Tacoma, WA
  • NPI 1790713360
  NPD (past)

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

{
    "created_epoch": "1664841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664841600000",
    "number": "1669197406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 S UNION AVE STE 110",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051946",
            "telephone_number": "253-572-3266",
            "fax_number": "253-572-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 S UNION AVE",
            "address_2": "STE 110",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051946",
            "telephone_number": "253-572-3266",
            "fax_number": "253-572-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TACOMA ENDODONTIC STUDIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-04",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A",
        "authorized_official_last_name": "MARFO",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-572-3266",
        "authorized_official_credential": "DDS, PS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tacoma Endodontic Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Tacoma Emergency Care Physicians, PLLC
• Tacoma Emergency Medicine Associates PC
• Tacoma Endoscopy Center
• Tacoma Eye Surgeons PS
• Tacoma Eyecare Center Inc
• Tacoma Family Chiropractic Inc., P.S.
• Tacoma Family Eyecare

• Endodontics in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Endodontics in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; 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.