Delorm Family Dental

LBN: Tracy L. Delorm, D.D.S. Pllc
Delorm Family Dental is an health care organization with primary practice located at 9514 4Th St. Ne Unit 102 , Lake Stevens WA 98258. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Tracy L. Delorm, D.D.S. Pllc can be contacted via phone (425) 334-4001, or through Delorm, Tracy L. via phone (425) 334-4001.

Contact Information

Primary practice address
9514 4Th St. Ne Unit 102 Lake Stevens WA 98258
Phone: (425) 334-4001
Fax: (425) 335-4003
Website:
Map and Directions
Authorized official contact:
Name: Delorm, Tracy L. Doctor of Dental Surgery (DDS)
Phone: (425) 334-4001

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DE9086 Washington

Profile Details

NPI number 1881140499
LBN Legal business name Tracy L. Delorm, D.D.S. Pllc
DBA Doing business as Delorm Family Dental
Authorized official Delorm, Tracy L. Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 1st, 2016
Last updated Sep 1st, 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 1881140499 NPPES
Washington MEDICAID 501627465

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