Tacoma Denture Clinic
LBN: Tacoma Denture Clinic
Tacoma Denture Clinic is an health care organization with primary practice located at 3712 S Cedar St , Tacoma WA 98409-5715. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty.
Tacoma Denture Clinic can be contacted via phone (253) 475-8570, or through Carlson, William J via phone (253) 475-8570.
Contact Information
Primary practice address
3712 S Cedar St
Tacoma WA 98409-5715
Phone: (253) 475-8570
Fax: (253) 475-8577
Website:
Authorized official contact:
Name: Carlson, William J Doctor of Dental Surgery (DDS)
Phone: (253) 475-8570
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 5397 | Washington |
Profile Details
| NPI number | 1841444981 |
|---|---|
| LBN Legal business name | Tacoma Denture Clinic |
| DBA Doing business as | |
| Authorized official | Carlson, William J Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 14th, 2008 |
| Last updated | Nov 14th, 2008 - about 17 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 | 1841444981 | NPPES |
| Washington | MEDICAID | 5781604 | |
| Washington | MEDICAID | 5012976 | |
| Washington | MEDICAID | 5042791 |
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