Costa & Dageenakis Family Dentistry Pllc in Port Orchard - Dentist
Costa & Dageenakis Family Dentistry Pllc - NPI 1376647743
Costa & Dageenakis Family Dentistry Pllc is a Dentist in Port Orchard, Washington. Costa & Dageenakis Family Dentistry Pllc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Costa & Dageenakis Family Dentistry Pllc is 1376647743. The last update date is 2020-08-22.
Costa & Dageenakis Family Dentistry Pllc's current location address is 1565 Woodridge Dr Se, Port Orchard, Washington. You can contact this provider via phone number 3608760550 and fax number 3608760861. The mailing address for Costa & Dageenakis Family Dentistry Pllc is 1565 Woodridge Dr Se, Port Orchard, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Costa & Dageenakis Family Dentistry Pllc |
|---|---|
| Address | 1565 Woodridge Dr Se, Port Orchard, Washington |
| Phone Number | 3608760550 |
| Fax Number | 3608760861 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | TREATMENT |
|---|---|
| Authorized Official Name | Richardson D Michelle |
| Telephone Number | 3608760550 |
NPI Number Detail
| NPI Number | 1376647743 |
|---|---|
| Provider Enumeration Date | 2006-09-07 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1565 Woodridge Dr Se |
|---|---|
| City | Port Orchard |
| State | Washington (WA) |
| Post Code | 98366 |
| Phone Number | 3608760550 |
| Fax Number | 3608760861 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 7181 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identification code issued to Costa & Dageenakis Family Dentistry Pllc by the Centers for Medicare & Medicaid Services?
The Costa & Dageenakis Family Dentistry Pllc has been assigned the NPI (National Provider Identifier) 1376647743 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Costa & Dageenakis Family Dentistry Pllc?
The Costa & Dageenakis Family Dentistry Pllc is situated at 1565 Woodridge Dr Se, in the city of Port Orchard, state of WA, with the zip code 98366.
What is Costa & Dageenakis Family Dentistry Pllc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Costa & Dageenakis Family Dentistry Pllc's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1376647743 to Costa & Dageenakis Family Dentistry Pllc?
The Costa & Dageenakis Family Dentistry Pllc received its 1376647743 assignment from the Centers for Medicare & Medicaid Services on 2006-09-07.
As of what date were the Costa & Dageenakis Family Dentistry Pllc's details last updated?
The information pertaining to the Costa & Dageenakis Family Dentistry Pllc, including its address, specialty, and other details, was most recently updated on 2020-08-22.
NPI Number: 1255343356
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