Panther Lake Dental
LBN: Jay D. Deiglmeier Dds. Ps
Panther Lake Dental is an health care organization with primary practice located at 10920 Se 208Th St , Kent WA 98031-4009. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty.
Jay D. Deiglmeier Dds. Ps can be contacted via phone (253) 854-1222, or through Deiglmeier, Jay D via phone (253) 854-1222.
Contact Information
Primary practice address
10920 Se 208Th St
Kent WA 98031-4009
Phone: (253) 854-1222
Fax: (253) 859-1269
Website:
Authorized official contact:
Name: Deiglmeier, Jay D Doctor of Dental Surgery (DDS)
Phone: (253) 854-1222
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DE00007064 | Washington |
Profile Details
| NPI number | 1316010531 |
|---|---|
| LBN Legal business name | Jay D. Deiglmeier Dds. Ps |
| DBA Doing business as | Panther Lake Dental |
| Authorized official | Deiglmeier, Jay D Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 16th, 2006 |
| Last updated | Aug 22nd, 2020 - about 5 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 | 1316010531 | NPPES |
| Washington | Other | DE7654 | REGENCE |
| Washington | MEDICAID | 5025788 | REGENCE |
| Washington | Other | 103746 | REGENCE |
| Washington | Other | 57064 | REGENCE |
| Washington | MEDICAID | 5023221 | REGENCE |
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