Abc Dentistry in Des Moines - Preferred Provider Organization
Abc Dentistry - NPI 1639393309
Abc Dentistry is a Preferred Provider Organization in Des Moines, Washington. Abc Dentistry practices all healthcare services and medical treatments related to Preferred Provider Organization. The NPI Number for Abc Dentistry is 1639393309. The last update date is 2020-08-22.
Abc Dentistry's current location address is 22625 Pacific Hwy S, Des Moines, Washington. You can contact this provider via phone number 2068785665 and fax number 2068701504. The mailing address for Abc Dentistry is 22625 Pacific Hwy S, Des Moines, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Abc Dentistry |
|---|---|
| Address | 22625 Pacific Hwy S, Des Moines, Washington |
| Phone Number | 2068785665 |
| Fax Number | 2068701504 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Hoang Luc |
| Telephone Number | 2068785665 |
NPI Number Detail
| NPI Number | 1639393309 |
|---|---|
| Provider Enumeration Date | 2007-04-12 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 22625 Pacific Hwy S |
|---|---|
| City | Des Moines |
| State | Washington (WA) |
| Post Code | 981985110 |
| Phone Number | 2068785665 |
| Fax Number | 2068701504 |
Provider's Primary Taxonomy Detail
| Speciality | Preferred Provider Organization |
|---|---|
| Taxonomy | 305R00000X |
| Licence No | 2855 |
|
Definition: A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient rec |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5040043 | WA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Abc Dentistry by the Centers for Medicare & Medicaid Services?
The Abc Dentistry has been issued the NPI (National Provider Identifier) 1639393309. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Abc Dentistry is located?
The Abc Dentistry is situated at the following address: 22625 Pacific Hwy S, Des Moines, WA, 981985110.
What is the Abc Dentistry's area of specialization and corresponding taxonomy classification?
The Abc Dentistry's specialty field is Preferred Provider Organization, and it falls under the taxonomy code 305R00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1639393309 to Abc Dentistry?
The Centers for Medicare & Medicaid Services assigned the 1639393309 to Abc Dentistry on 2007-04-12.
When was the information regarding Abc Dentistry most recently updated?
The details pertaining to the Abc Dentistry, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.