Amanda M. Tinkle DMD PS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

60266590 Issued in WA

Legal business name

AMANDA M. TINKLE DMD PS

Practice address

117 E 39TH St
Vancouver, WA 98663-2229

Phone

(360) 694-7931

Fax

(360) 694-0722

NPI assigned

Feb 8, 2012

Organization subpart

No

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

Authorized official

Name

Amanda Margaux Tinkle, DMD

Title

General Dentist, Owner

Phone

(503) 348-7396

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1328659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328659200000",
    "number": "1962774869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 E 39TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986632229",
            "telephone_number": "360-694-7931",
            "fax_number": "360-694-0722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 E 39TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986632229",
            "telephone_number": "360-694-7931",
            "fax_number": "360-694-0722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANDA M. TINKLE DMD PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-08",
        "last_updated": "2012-02-08",
        "status": "A",
        "authorized_official_last_name": "TINKLE",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "MARGAUX",
        "authorized_official_title_or_position": "GENERAL DENTIST, OWNER",
        "authorized_official_telephone_number": "503-348-7396",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "60266590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; 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.