Olympic Dental Center, Llc in Lacey - Dental
Olympic Dental Center, Llc - NPI 1780733204
Olympic Dental Center, Llc is a Dental in Lacey, Washington. Olympic Dental Center, Llc practices all healthcare services and medical treatments related to Dental. The NPI Number for Olympic Dental Center, Llc is 1780733204. The last update date is 2020-08-22.
Olympic Dental Center, Llc's current location address is 4408 Pacific Ave Se, Lacey, Washington. You can contact this provider via phone number 3604388299 and fax number 3604381399. The mailing address for Olympic Dental Center, Llc is 4408 Pacific Ave Se, Lacey, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Olympic Dental Center, Llc |
|---|---|
| Address | 4408 Pacific Ave Se, Lacey, Washington |
| Phone Number | 3604388299 |
| Fax Number | 3604381399 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTURIST |
|---|---|
| Authorized Official Name | Anderson John |
| Credentials | D.P.D |
| Telephone Number | 3604388299 |
NPI Number Detail
| NPI Number | 1780733204 |
|---|---|
| Provider Enumeration Date | 2007-01-10 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 4408 Pacific Ave Se |
|---|---|
| City | Lacey |
| State | Washington (WA) |
| Post Code | 985031119 |
| Phone Number | 3604388299 |
| Fax Number | 3604381399 |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
|
Definition: Provides general and specialized dental care and oral surgery. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5040258 | WA | -- | |
| 1412978 | WA | UNITED CONCORDIA |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Olympic Dental Center, Llc by the Centers for Medicare & Medicaid Services?
The Olympic Dental Center, Llc has been issued the NPI (National Provider Identifier) 1780733204 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Olympic Dental Center, Llc located?
The Olympic Dental Center, Llc is located at 4408 Pacific Ave Se, Lacey, WA 985031119.
What is Olympic Dental Center, Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Olympic Dental Center, Llc is Dental, and the taxonomy classification code that categorizes this area of expertise is 261Qd0000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1780733204 to Olympic Dental Center, Llc?
The Centers for Medicare & Medicaid Services assigned the 1780733204 to Olympic Dental Center, Llc on 2007-01-10.
As of what date were the details pertaining to Olympic Dental Center, Llc last refreshed?
The information related to the Olympic Dental Center, Llc, including its address, specialty, and other relevant details, was last updated on 2020-08-22.