South Sound Family Dentistry, Pllc in Olympia - General Practice
South Sound Family Dentistry, Pllc - NPI 1164585634
South Sound Family Dentistry, Pllc is a General Practice in Olympia, Washington. South Sound Family Dentistry, Pllc practices all healthcare services and medical treatments related to General Practice. The NPI Number for South Sound Family Dentistry, Pllc is 1164585634. The last update date is 2016-04-19.
South Sound Family Dentistry, Pllc's current location address is 703 Lilly Rd Ne Ste 201, Olympia, Washington. You can contact this provider via phone number 3604593400. The mailing address for South Sound Family Dentistry, Pllc is 703 Lilly Rd Ne Ste 201, Olympia, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | South Sound Family Dentistry, Pllc |
|---|---|
| Address | 703 Lilly Rd Ne Ste 201, Olympia, Washington |
| Phone Number | 3604593400 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Green G Levi |
| Credentials | DDS |
| Telephone Number | 3604593400 |
NPI Number Detail
| NPI Number | 1164585634 |
|---|---|
| Provider Enumeration Date | 2006-12-18 |
| Last Updated Date | 2016-04-19 |
Provider Mailing Address Detail
| Address | 703 Lilly Rd Ne Ste 201 |
|---|---|
| City | Olympia |
| State | Washington (WA) |
| Post Code | 985065256 |
| Phone Number | 3604593400 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | DE00009986 |
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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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 215386 | WA | L & I GROUP PROVIDER # |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to South Sound Family Dentistry, Pllc by the Centers for Medicare & Medicaid Services?
The South Sound Family Dentistry, Pllc has been issued the NPI (National Provider Identifier) 1164585634, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the South Sound Family Dentistry, Pllc's physical address?
The South Sound Family Dentistry, Pllc is physically located at 703 Lilly Rd Ne Ste 201, in the city of Olympia, WA, with the postal code 985065256.
What is the South Sound Family Dentistry, Pllc's specialty and taxonomy code?
The South Sound Family Dentistry, Pllc's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
When did the South Sound Family Dentistry, Pllc receive its 1164585634?
The South Sound Family Dentistry, Pllc was issued its 1164585634 on 2006-12-18, which is the date when the organization was assigned this unique identifier.
When was the information related to South Sound Family Dentistry, Pllc most recently updated or refreshed?
The details pertaining to the South Sound Family Dentistry, Pllc, including its address, specialty, and other relevant information, were last updated or refreshed on 2016-04-19.