Bridgeport Dental Arts in University Place - Dentist
Bridgeport Dental Arts - NPI 1265535652
Bridgeport Dental Arts is a Dentist in University Place, Washington. Bridgeport Dental Arts practices all healthcare services and medical treatments related to Dentist. The NPI Number for Bridgeport Dental Arts is 1265535652. The last update date is 2014-10-08.
Bridgeport Dental Arts's current location address is 4103 Bridgeport Way W, University Place, Washington. You can contact this provider via phone number 2535654474 and fax number 2535656848. The mailing address for Bridgeport Dental Arts is 4103 Bridgeport Way W, University Place, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bridgeport Dental Arts |
|---|---|
| Address | 4103 Bridgeport Way W, University Place, Washington |
| Phone Number | 2535654474 |
| Fax Number | 2535656848 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTIST OW |
|---|---|
| Authorized Official Name | Shaw R Gary |
| Credentials | DDS |
| Telephone Number | 2535654474 |
NPI Number Detail
| NPI Number | 1265535652 |
|---|---|
| Provider Enumeration Date | 2006-09-07 |
| Last Updated Date | 2014-10-08 |
Provider Mailing Address Detail
| Address | 4103 Bridgeport Way W |
|---|---|
| City | University Place |
| State | Washington (WA) |
| Post Code | 98466 |
| Phone Number | 2535654474 |
| Fax Number | 2535656848 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 1431549922 |
|
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 601484620 | WA | WASTEMPLOYMENT |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Bridgeport Dental Arts by the Centers for Medicare & Medicaid Services?
The Bridgeport Dental Arts has been issued the NPI (National Provider Identifier) 1265535652 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Bridgeport Dental Arts is located?
The Bridgeport Dental Arts is situated at the following address: 4103 Bridgeport Way W, University Place, WA, 98466.
What is the Bridgeport Dental Arts's specialty and taxonomy code?
The Bridgeport Dental Arts's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did the Bridgeport Dental Arts receive its 1265535652 assignment from the Centers for Medicare & Medicaid Services?
The Bridgeport Dental Arts was assigned its 1265535652 by the Centers for Medicare & Medicaid Services on 2006-09-07.
When was the information related to Bridgeport Dental Arts most recently updated or refreshed?
The details pertaining to the Bridgeport Dental Arts, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-10-08.