Plancich Dental, PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

PLANCICH DENTAL, PLLC

Doing business as

Lakes Dentistry

Practice address

5726 100TH St SW
Lakewood, WA 98499-2730

Phone

(253) 581-2777

NPI assigned

Mar 11, 2020

Last updated

Mar 11, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gregory J Plancich, DDSNPI 1467645747

Title

Owner

Phone

(253) 272-7400

Specialties & licenses 1

Addresses

Other names 1

• Lakes Dentistry Doing business as

Locations

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.

• Gregory J. Plancich

  • Dentist
  • Tacoma, WA
  • NPI 1467645747
  NPD (past) Authorized official
• Bryce Jeffrey Plancich, DDS

  • General Practice Dentistry
  • Lakewood, WA
  • NPI 1861044232
  NPD

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

{
    "created_epoch": "1583884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583884800000",
    "number": "1912532763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2312 N 30TH ST STE 201",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984033356"
        },
        {
            "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": [],
    "basic": {
        "organization_name": "PLANCICH DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-11",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A",
        "authorized_official_last_name": "PLANCICH",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-272-7400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakes Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erika Pitot Ponce
• Angelshantelle Renee Pittman-Borland
• Ava Pittman
• Gabrielle Pitzler
• Lynne Marie Pla, MA
• Bryce Jeffrey Plancich, DDS
• Jasmine Sunshine Daydream Plaster, SP61230270
• Wendy Susan Platzer, MS, OT/L
• Vita Sari Pliskow, MD
• PNW Mobile Clinic

• Dentist in Lakewood, WA
• Providers in Lakewood, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; 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.