Tacoma Dental and Implant Center PS

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DE00008641 Issued in WA

Legal business name

TACOMA DENTAL AND IMPLANT CENTER PS

Practice address

4704 South Oakes St #103
Tacoma, WA 98409

Phone

(253) 472-0152

NPI assigned

Jun 24, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Yuriy Bagdasarov, DDS

Title

Owner

Phone

(253) 472-0152

Specialties & licenses 1

Addresses

Other names 1

• Tacoma Dental and Implant Center PS Doing business as

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403568000000",
    "number": "1972918399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4704 S OAKES ST STE 103",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984096400",
            "telephone_number": "253-472-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4704 SOUTH OAKES ST #103",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98409",
            "telephone_number": "253-472-0152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TACOMA DENTAL AND IMPLANT CENTER PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-24",
        "last_updated": "2014-06-24",
        "status": "A",
        "authorized_official_last_name": "BAGDASAROV",
        "authorized_official_first_name": "YURIY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-472-0152",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE00008641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tacoma Dental and Implant Center PS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tacoma Chiropractic Center LLC
• Tacoma Chiropractic Group LLC
• Tacoma Chiropractic Health Connection
• Tacoma Community College
• Tacoma Community House
• Tacoma Denture Clinic
• Tacoma Detoxification Center
• Tacoma Diagnostic Imaging Center, LLC
• Tacoma Digestive Disease Center
• Tacoma East Asian Medicine LLC

• Dental Clinic/Center in Tacoma, WA
• Providers in Tacoma, 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 Jun 24, 2014; 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.