South Sound Family Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DE000087989 Issued in WA

Legal business name

SOUTH SOUND FAMILY DENTISTRY

Practice address

703 Lilly Rd NE
Olympia, WA 98506-5191

Phone

(360) 459-3400

Fax

(360) 459-9700

NPI assigned

Jul 24, 2018

Last updated

Jul 24, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

CAROL A. O'BRIEN, DDS, PSAs reported in NPPES

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

Authorized official

Name

Carol A O'Brien, DDS, PS INCNPI 1659496065

Title

Dentist/Owner

Phone

(253) 582-2408

Specialties & licenses 1

Addresses

Other names 1

• South Sound Family Dentistry Other name

Part of

Carol a O'Brien DDS PS

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Carol a. O'Brien, DDS, PS

  • General Practice Dentistry
  • Lakewood, WA
  • NPI 1861602294
  NPPES parent name

Practitioners 2

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.

• Carol Aicha O'Brien, D.D.S.

  • General Practice Dentistry
  • University Place, WA
  • NPI 1659496065
  NPD Authorized official
• Maya Drangsholt, DMD

  • Dentist
  • Bonney Lake, WA
  • NPI 1578282067
  NPD (past)

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

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532390400000",
    "number": "1801373683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3702 BRIDGEPORT WAY W STE A",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664438",
            "telephone_number": "253-582-2408",
            "fax_number": "253-584-7024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 LILLY RD NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065191",
            "telephone_number": "360-459-3400",
            "fax_number": "360-459-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SOUND FAMILY DENTISTRY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAROL A. O'BRIEN, DDS, PS",
        "enumeration_date": "2018-07-24",
        "last_updated": "2018-07-24",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "253-582-2408",
        "authorized_official_credential": "DDS, PS INC"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE000087989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Sound Family Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• South Sound Cares LLC
• South Sound Community College (South Puget Sound Community College)
• South Sound Dentures, P.S.
• South Sound Dentures,PS (South Sound Dental & Dentures)
• South Sound Family & Sports
• South Sound Family Dentistry, PLLC
• South Sound Health & Fitness
• South Sound Inpatient Physicians PLLC (Sound Inpatient Physicians)
• South Sound Internal Medicine PLLC
• South Sound Medical Group, PLLC

• Dental Clinic/Center in Olympia, WA
• Providers in Olympia, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; 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.