NPIMap

Organization Active NPI

Brian L and Jennifer W Thornton DDS PS

Doing business as Poulsbo Dental Center

  • General Practice Dentistry
  • Poulsbo, WA
National Provider Identifier
1891971701
Registry record updated Aug 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE00009358 Issued in WA
Legal business name
BRIAN L AND JENNIFER W THORNTON DDS PS
Doing business as
Poulsbo Dental Center
Practice address
19170 8TH Ave NE
Poulsbo, WA 98370-8773
Phone
(360) 779-3633
Fax
(360) 779-6232
NPI assigned
Jan 10, 2008
Last updated
Aug 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2008

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

Authorized official

Name
Dr. Jennifer W Thornton, DDSNPI 1700895315
Title
President/Dentist
Phone
(360) 779-3633

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DE00009358 WA Primary

Addresses

Primary practice location

19170 8TH Ave NE
Poulsbo, WA 98370-8773

Mailing address

19170 8TH Ave NE
Poulsbo, WA 98370-8773
Phone (360) 779-3633

Other names 1

  • Poulsbo Dental Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Brian L and Jennifer W Thornton DDS PS2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

19170 8th Ave NE
Poulsbo, WA 98370
Phone (360) 779-3633

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217808000000",
    "number": "1891971701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19170 8TH AVE NE",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983708773",
            "telephone_number": "360-779-3633",
            "fax_number": "360-779-6232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19170 8TH AVE NE",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983708773",
            "telephone_number": "360-779-3633",
            "fax_number": "360-779-6232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN L AND JENNIFER W THORNTON DDS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-10",
        "last_updated": "2008-08-04",
        "status": "A",
        "authorized_official_last_name": "THORNTON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "360-779-3633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00009358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Poulsbo Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Poulsbo, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; 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.