Eastside Urgent Care Dentistry

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

EASTSIDE URGENT CARE DENTISTRY

Practice address

220 Lilly Rd NE
Ste B
Olympia, WA 98506

Phone

(360) 459-9694

Fax

(360) 459-9657

NPI assigned

Nov 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Sherilyn Victoria Malloy, DDSNPI 1063575033

Title

President

Phone

(360) 459-9694

Specialties & licenses 1

Addresses

Other names 1

• Eastside Emergency Dentistry 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.

• Sherilyn Victoria Malloy, DDS

  • Dentist
  • Olympia, WA
  • NPI 1063575033
  NPD (past) Authorized official

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851465090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 LILLY RD NE",
            "address_2": "STE B",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "98506",
            "telephone_number": "360-459-9694",
            "fax_number": "360-459-9657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 LILLY RD NE",
            "address_2": "STE B",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "98506",
            "telephone_number": "360-459-9694",
            "fax_number": "360-459-9657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTSIDE URGENT CARE DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MALLOY",
        "authorized_official_first_name": "SHERILYN",
        "authorized_official_middle_name": "VICTORIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-459-9694",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastside Emergency Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ear Nose and Throat Associates Southwest Inc PS
• Tarah Jade Earhart, LMHC
• Shelley S Earing, MPT OCS
• Taylor Easley
• Jenae Eastman, MC
• Alice Audrey Eaton, MD
• Jeremy Joseph Eaton, DO
• Evelyn Ebarle Ebalo, M.D.
• Karol Kay Prosser Ebio, LMFT
• Michael John Eby

• Dentist in Olympia, WA
• Providers in Olympia, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.