Bagley Dental
Organization Active NPI General Practice Dentistry · Pasco, WA
NPI 1902032899 · NPPES record last updated Jun 5, 2009
Key facts
- NPI
- 1902032899
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DE 3657 (WA)
- Legal business name
- BAGLEY DENTAL
- Practice address
- 1028 W Nixon St
Pasco, WA 99301-5216 - Phone
- (509) 547-1632
- Fax
- (509) 547-6932
- NPI assigned
- Jun 5, 2009
- Organization subpart
- Yes
- Parent organization (as reported)
- BAGLEY DENTAL, PS
Authorized official
- Name
- Dr. James Kent Bagley, D.D.S.
- Title
- Dental Provider
- Phone
- (509) 547-1632
Parent organization (reported in NPPES) 1
Corporate family (same tax ID) 1
Practitioners 1
-
James Kent Bagley, DDS
National Provider Directory
- Tax ID family
- Bagley Dental PS
- Part of
- Bagley Dental PS
Locations
1028 W Nixon St
Pasco, WA 99301
Phone (509) 547-1632
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | DE 3657 | WA | Yes |
Addresses
Primary practice location
1028 W Nixon St
Pasco, WA 99301-5216
Mailing address
1028 W Nixon St
Pasco, WA 99301-5216
Phone (509) 547-1632
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5050414 | Medicaid | WA |
Other providers in Pasco, WA
- Back in Motion Physical Therapy. LLC
- Badger Mountain Fairview Afh LLC
- Jahaira Soledad Badillo
- Mounira Badini
- Robert J Baemmert
- Bagley Dental, PS
- James Andrew Bagley
- James Kent Bagley
- William Ryan Bagley
- Sharon K Baker
All providers in Pasco, WA · General Practice Dentistry in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.