STEVEN J URBACK DDS MAGD PS (NPI# 1114045804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114045804 |
| Entity Type | Organization |
| Organization Name | STEVEN J URBACK DDS MAGD PS |
| Other Organization Name | PUYALLUP VALLEY DENTAL CARE |
| Practice Address |
2921 5th Ave Ne Suite 110 Puyallup WA 98372-7044 |
| Practice Telephone | 2538413173 |
| Mailing Telephone | 2538413173 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2008-06-27 |
| Authorized Official Name | LAUREN GIDEON (OFFICE MANAGER) |
| Authorized Official Telephone | 2538413173 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
5496 | WA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 5047048 | 05 |
| Other Name | Type Code |
|---|---|
| Puyallup Valley Dental Care | Doing Business As Name - Organization |
| Street Address |
2921 5TH AVE NE SUITE 110 |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98372-7044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679617609 | Steven J Urback | Dentist | 2921 5th Ave Ne, Suite 110, Puyallup, WA 98372-7044 | 2007-02-15 |
| 1992250260 | Chelsea Cross Momany | Dentist | 2921 5th Ave Ne, Ste 110, Puyallup, WA 98372-7044 | 2016-08-16 |
| 1528318425 | Kaldestad & Niazi Pllc | Dentist | 2921 5th Ave Ne, #250, Puyallup, WA 98372-7044 | 2012-09-18 |
| 1922127018 | Elizabeth Hall | Dentist | 2921 5th Ave Ne, Suite 110, Puyallup, WA 98372-7044 | 2007-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371532 | Jeffrey Allen Zhan | Urology | Good Samaritan Medical Office Bldg 1450 5th St Se, Suite 2100- Urology Clinic, Puyallup, WA 98372 | 2019-11-21 |
| 1447811419 | Serenity Counseling & Consulting, LLC | Marriage & Family Therapist | 102 23rd St Se, Unit B, Puyallup, WA 98372 | 2019-06-21 |
| 1316401565 | Katherine Juarez Davidson | Nurse Practitioner | 325 E Pioneer # A145, Puyallup, WA 98372 | 2019-01-22 |
| 1679041404 | Cara Ann Lundin | Nurse Practitioner | 11926 43rd St Crt E, Edgewood, WA 98372 | 2018-11-09 |
| 1104392109 | Megan Black | Occupational Therapist | 40 29th St Ne, Puyallup, WA 98372 | 2018-10-17 |
| 1063919470 | Myriah Shekinah Olakpe | Occupational Therapist | 516 Se 23rd Ave, Puyallup, WA 98372 | 2018-04-11 |
| 1902330202 | Tyler Girdler | Student in an Organized Health Care Education/Training Program | 1322 3rd Street Se Suite 240, Puyallup, WA 98372 | 2017-04-13 |
| 1770039471 | Mahalakshmi Hariharan | Pharmacist | 2117 28th St Se, Puyallup, WA 98372 | 2016-09-01 |
| 1801241112 | Nawazish Ali | Internal Medicine | 401 15th Ave Se Multicare God Samartian Hopsital, Puyallup, WA 98372 | 2016-04-25 |
| 1932567559 | Denice L. Voss | Physical Therapist | 400 29th St. Ne, Puyallup, WA 98372 | 2016-02-10 |
| Find all providers in zip 98372 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494711 | Caroline Brown Corbett | Dentist | 8012 112th St Ct E #320, Puyallup, WA 98373 | 2020-10-13 |
| 1194369181 | Ruba H Tawil | Dentist | 12005 Meridian E # 102, Puyallup, WA 98373 | 2019-11-01 |
| 1083269682 | Breinn Ashley Bertrand | Dentist | 13613 Meridian E Ste 180, Puyallup, WA 98373-3664 | 2019-08-09 |
| 1164919981 | Puyallup Park Dental | Dentist | 13909 Meridian E Ste A1, Puyallup, WA 98373-9180 | 2018-04-17 |
| 1033614276 | Violeta Atanasova Stoyanova | Dentist | 12005 Meridian E Ste 102, Puyallup, WA 98373-3423 | 2018-03-29 |
| 1013367150 | Gibran Hyder | Dentist | 8012 112th Street Ct E Ste 320, Puyallup, WA 98373-7856 | 2016-06-20 |
| 1083076996 | D.l. Vanderschelden, Dds, PC | Dentist | 18710 Meridian E Ste 216, Puyallup, WA 98375-2231 | 2016-03-22 |
| 1558786145 | Abedi Advanced Family Dentistry Pllc | Dentist | 803 39th Ave Sw Ste E, Puyallup, WA 98373-3692 | 2014-02-19 |
| 1417384348 | Washington Dental Corporation, PC | Dentist | 16810 Meridian East Suite J107, Puyallup, WA 98375 | 2013-10-10 |
| 1598041535 | Han & Nigam Dmd Pllc | Dentist | 2321 Meridian St S, Puyallup, WA 98373-1554 | 2011-10-21 |
| Find all providers in PUYALLUP | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.