Covington Family Dental Clinic

LBN: Kyle Blair
Covington Family Dental Clinic is an health care organization with primary practice located at 17121 Se 270Th Pl Ste 202 , Covington WA 98042-5431. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Kyle Blair can be contacted via phone (253) 630-5500, or through Blair, Klye S via phone (253) 630-5500.

Contact Information

Primary practice address
17121 Se 270Th Pl Ste 202 Covington WA 98042-5431
Phone: (253) 630-5500
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Blair, Klye S Doctor of Dental Surgery (DDS)
Phone: (253) 630-5500

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DE60170682 Washington

Profile Details

NPI number 1346693892
LBN Legal business name Kyle Blair
DBA Doing business as Covington Family Dental Clinic
Authorized official Blair, Klye S Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 20th, 2016
Last updated Jul 20th, 2016 - about 9 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 1346693892 NPPES
Washington Other 1245546068 NPI

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