Seok W. Nichols I, DDS, PS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SEOK W. NICHOLS I, DDS, PS

Practice address

2607 Bridgeport Way W Ste 1K
University Place, WA 98466-4725

Phone

(253) 627-2648

Fax

(253) 533-7214

NPI assigned

Oct 7, 2019

Organization subpart

No

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

Authorized official

Name

Seok W. Nichols, DDS

Title

Dentist/President

Phone

(253) 627-2648

Specialties & licenses 1

Addresses

Other names 1

• Puget Sound Dental Clinic Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570406400000",
    "number": "1932740271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2607 BRIDGEPORT WAY W STE 1K",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664725",
            "telephone_number": "253-627-2648",
            "fax_number": "253-533-7214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2607 BRIDGEPORT WAY W STE 1K",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664725",
            "telephone_number": "253-627-2648",
            "fax_number": "253-533-7214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEOK W. NICHOLS I, DDS, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-07",
        "last_updated": "2019-10-07",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "SEOK",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "DENTIST/PRESIDENT",
        "authorized_official_telephone_number": "253-627-2648",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@pugetsounddentalclinic.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "2607 Bridgeport Way W Ste 1K",
            "city": "University Place",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984664725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Puget Sound Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Renisha J Seraile
• Carol Jo Seward
• Alexis Grace Shaffstall, PHARMD
• Rakshya Shaha, CNA
• Emily Nicole Sharp, MSW

• General Practice Dentistry in University Place, WA
• Providers in University Place, 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 Oct 7, 2019; 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.