Dental Services Of Washington, Inc

LBN: Dental Services Of Washington, Inc
Dental Services Of Washington, Inc is an health care organization with primary practice located at 10518 S Tacoma Way Ste B , Tacoma WA 98499-5400. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Denturist. Dental Providers / Dentist is the primary health care specialty. Dental Services Of Washington, Inc can be contacted via phone (253) 584-8840, or through Kizar, Bruce Laverne via phone (253) 584-8840.

Contact Information

Primary practice address
10518 S Tacoma Way Ste B Tacoma WA 98499-5400
Fax: (253) 584-8511
Website:
Authorized official contact:
Name: Kizar, Bruce Laverne DPD

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X
Dental Providers / Denturist 122400000X

Profile Details

NPI number 1942355979
LBN Legal business name Dental Services Of Washington, Inc
DBA Doing business as
Authorized official Kizar, Bruce Laverne DPD
Entity Organization
Organization subpart 1 No
Enumeration date Jan 23rd, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942355979 NPPES
Washington MEDICAID 5042619

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