A Street Dental Clinic in Federal Way - General Practice

A Street Dental Clinic - NPI 1083799068

A Street Dental Clinic is a General Practice in Federal Way, Washington. A Street Dental Clinic practices all healthcare services and medical treatments related to General Practice. The NPI Number for A Street Dental Clinic is 1083799068. The last update date is 2020-08-22.

A Street Dental Clinic's current location address is 702 Sw 294th St, Federal Way, Washington. You can contact this provider via phone number 2532889608 and fax number 2532889631. The mailing address for A Street Dental Clinic is 702 Sw 294th St, Federal Way, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Organization A Street Dental Clinic
Address 702 Sw 294th St, Federal Way, Washington
Phone Number 2532889608
Fax Number 2532889631
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRACTICE O
Authorized Official Name Leung C Kevin
Credentials D.D.S.
Telephone Number 2532889608

NPI Number Detail

NPI Number 1083799068
Provider Enumeration Date 2006-10-26
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 702 Sw 294th St
City Federal Way
State Washington (WA)
Post Code 980233542
Phone Number 2532889608
Fax Number 2532889631

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 9810
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5040621 WA --

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FAQs about A Street Dental Clinic

What is the unique identification code assigned to A Street Dental Clinic by the Centers for Medicare & Medicaid Services?

The A Street Dental Clinic has been issued the NPI (National Provider Identifier) 1083799068. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where A Street Dental Clinic is geographically located?

The A Street Dental Clinic is physically situated at the following location: 702 Sw 294Th St, Federal Way, WA, 980233542.

What is A Street Dental Clinic's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The A Street Dental Clinic's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1083799068 to A Street Dental Clinic?

The Centers for Medicare & Medicaid Services originally issued the 1083799068 to A Street Dental Clinic on 2006-10-26.

As of what date was the information pertaining to A Street Dental Clinic, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to A Street Dental Clinic, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.

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