Vancouver Dental Care, L.L.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE60085479 Issued in WA

Legal business name

VANCOUVER DENTAL CARE, L.L.C.

Practice address

1418 NE 78TH St
Vancouver, WA 98665-9631

Phone

(360) 450-0075

Fax

(360) 719-2314

NPI assigned

Apr 1, 2013

Organization subpart

No

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

Authorized official

Name

Tarek Fahmy

Title

Dentist

Phone

(440) 506-1913

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1364774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364774400000",
    "number": "1861735565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1418 NE 78TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986659631",
            "telephone_number": "360-450-0075",
            "fax_number": "360-719-2314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 NE 78TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986659631",
            "telephone_number": "360-450-0075",
            "fax_number": "360-719-2314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANCOUVER DENTAL CARE, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-01",
        "last_updated": "2013-04-01",
        "status": "A",
        "authorized_official_last_name": "FAHMY",
        "authorized_official_first_name": "TAREK",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "440-506-1913"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60085479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vancouver Clinical Services PC
• Vancouver Community Midwives, PLLC
• Vancouver Contact Lens & Vision Clinic Inc
• Vancouver Counseling Associates, LLC
• Vancouver Counseling Group
• Vancouver Dental LLC
• Vancouver Dental Surgery Center
• Vancouver Ear, Nose & Throat Head & Neck Surgery Clinic, PS
• Vancouver Ear, Nose & Throat Head & Neck Surgery Clinic, PS
• Vancouver Ear, Nose & Throat Head & Neck Surgery Clinic, PS

• General Practice Dentistry in Vancouver, WA
• Providers in Vancouver, 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 Apr 1, 2013; 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.