Bryce Jeffrey Plancich, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

60977337 Issued in WA

Practice address

5726 100TH St SW
Lakewood, WA 98499-2730

Phone

(253) 581-2777

NPI assigned

Jul 15, 2019

Last updated

Jul 15, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Plancich Dental, PLLC

  dba Lakes Dentistry

  • Dentist
  • Lakewood, WA
  • NPI 1912532763
  NPD

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

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1861044232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8311 N 9TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984068454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5726 100TH ST SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984992730",
            "telephone_number": "253-581-2777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2312 N 30th St",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984033356",
            "country_code": "US",
            "telephone_number": "253-272-7400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PLANCICH",
        "first_name": "BRYCE",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-15",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "60977337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelshantelle Renee Pittman-Borland
• Ava Pittman
• Gabrielle Pitzler
• Lynne Marie Pla, MA
• Plancich Dental, PLLC (Lakes Dentistry)
• Jasmine Sunshine Daydream Plaster, SP61230270
• Wendy Susan Platzer, MS, OT/L
• Vita Sari Pliskow, MD
• PNW Mobile Clinic
• Nikhila Pokkuluri

• General Practice Dentistry in Lakewood, WA
• Providers in Lakewood, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; 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.