Packard Sorenson and Miller P.L.L.C

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PACKARD SORENSON AND MILLER P.L.L.C

Doing business as

Lakeside Dental Greenacres

Practice address

1612 N Barker Rd Ste 100
Spokane Valley, WA 99016-5036

Phone

(509) 922-2211

Fax

(509) 764-0886

NPI assigned

Aug 29, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Owen Earl Packard, DDS

Title

Owner

Phone

(509) 922-2211

Specialties & licenses 1

Addresses

Other names 1

• Lakeside Dental Greenacres 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.

• Garrett Foster Garner, DMD

  • Dentist
  • Coeur d'Alene, ID
  • NPI 1447872361
  NPD (past)

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539820800000",
    "number": "1912489659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 N BARKER RD STE 100",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990165036",
            "telephone_number": "509-764-0307",
            "fax_number": "509-764-0886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 N BARKER RD STE 100",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990165036",
            "telephone_number": "509-922-2211",
            "fax_number": "509-764-0886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACKARD SORENSON AND MILLER P.L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-29",
        "last_updated": "2018-10-18",
        "status": "A",
        "authorized_official_last_name": "PACKARD",
        "authorized_official_first_name": "OWEN",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-922-2211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeside Dental Greenacres",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carla Cecilia Oviedo Cardenas
• David George Owan, PT
• Ritu Pabby, MD
• Mariana Fernanda Pacheco-Arcaya
• Pacific Cataract and Laser Institute, Inc., P.C.
• Amanda Lynn Padgett-Stewart, SLP, LMP
• Kori Page
• Tyffani Page
• William T Page, MD
• Mark E.a. Paget, PTA,ATC,CSCS

• Dental Clinic/Center in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2018; 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.