Gregory L Psaltis in Olympia - Pediatric Dentistry
Gregory L Psaltis - NPI 1972682565
Gregory L Psaltis is a Pediatric Dentistry in Olympia, Washington. Gregory L Psaltis practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Gregory L Psaltis is 1972682565. The last update date is 2007-07-08.
Gregory L Psaltis's current location address is 222 Lilly Rd Ne, Olympia, Washington. You can contact this provider via phone number 3604595885 and fax number 3604597115. The mailing address for Gregory L Psaltis is 222 Lilly Rd Ne, Olympia, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory L Psaltis |
|---|---|
| Address | 222 Lilly Rd Ne, Olympia, Washington |
| Phone Number | 3604595885 |
| Fax Number | 3604597115 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1972682565 |
|---|---|
| Provider Enumeration Date | 2006-11-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 222 Lilly Rd Ne |
|---|---|
| City | Olympia |
| State | Washington (WA) |
| Post Code | 98506 |
| Phone Number | 3604595885 |
| Fax Number | 3604597115 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | DE00004885 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5022207 | WA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Gregory L Psaltis by the Centers for Medicare & Medicaid Services?
The Gregory L Psaltis has been issued the NPI (National Provider Identifier) 1972682565 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 Gregory L Psaltis is located?
The Gregory L Psaltis is situated at the following address: 222 Lilly Rd Ne, Olympia, WA, 98506.
What is the Gregory L Psaltis's specialty and taxonomy code?
The Gregory L Psaltis's specialty is Pediatric Dentistry, and the corresponding taxonomy code is 1223P0221X.
When was the Gregory L Psaltis's 1972682565 issued?
The Gregory L Psaltis's 1972682565 was issued on 2006-11-03.
As of what date were the details related to Gregory L Psaltis most recently updated or revised?
The information pertaining to Gregory L Psaltis, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.