Everlast Family Dental Clinic
LBN: Everlast Family Dental Clinic
Everlast Family Dental Clinic is an health care organization with primary practice located at 1212 S 11Th St Ste 47 , Tacoma WA 98405-4021. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty.
Everlast Family Dental Clinic can be contacted via phone (253) 573-0070, or through Pyeun-Kim, Eun J. via phone (253) 573-0070.
Contact Information
Primary practice address
1212 S 11Th St Ste 47
Tacoma WA 98405-4021
Phone: (253) 573-0070
Fax: (253) 573-0272
Website:
Authorized official contact:
Name: Pyeun-Kim, Eun J. Doctor of Dental Medicine (DMD)
Phone: (253) 573-0070
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Dental | 261QD0000X | DE00010831 | Washington |
Profile Details
| NPI number | 1770809832 |
|---|---|
| LBN Legal business name | Everlast Family Dental Clinic |
| DBA Doing business as | |
| Authorized official | Pyeun-Kim, Eun J. Doctor of Dental Medicine (DMD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 14th, 2010 |
| Last updated | Apr 14th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770809832 | NPPES |
| Washington | MEDICAID | 5056478 |
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