DANIEL J THACKER (NPI# 1447478474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447478474 |
| Entity Type | Individual |
| Full Name | DANIEL J THACKER |
| Credential | D.D.S,P.S. |
| Practice Address |
26114 Illinois Avenue Suite A Kingston WA 98346-0149 |
| Mailing Address |
Po Box 149 26114 Illinois Ave Kingston WA 98346-0149 |
| Practice Telephone | 3602973392 |
| Practice Fax Number | 3602974331 |
| Mailing Telephone | 3602973392 |
| Mailing Fax Number | 3602974331 |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DE00005967 | WA | Dental Providers |
| Street Address |
26114 ILLINOIS AVENUE SUITE A |
| City | KINGSTON |
| State | WA |
| Zip Code | 98346-0149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831725688 | Sierra Joye Lari | Massage Therapist | 8202 Ne Highway 104, Suite 105, Kingston, WA 98346 | 2020-03-12 |
| 1235641705 | Reba Lee Harris | Counselor | 7550 Little Boston Road N.e, Kingston, WA 98346 | 2017-10-24 |
| 1134592421 | Honeycomb Medical Services, A Med Corp | Physician Assistant | 700 Alamo Pintado Road, Solvang, CA 98346 | 2015-11-09 |
| 1588000764 | Donald G Hill | Contractor | 26325 Ne Illinois Ave, B 105, Kingston, WA 98346 | 2013-05-15 |
| 1104161900 | Marcus Dean Atkinson | Massage Therapist | 8202 Ne Hwy 104, Ste 105, Kingston, WA 98346 | 2012-12-05 |
| 1245580687 | Samantha Christine Kottke | Massage Therapist | 25960 Ohio Ave Suite 206, Kingston, WA 98346 | 2012-09-13 |
| 1265713390 | Karen Dale Friend | Pharmacist | 8196 State Highway 104, Kingston, WA 98346 | 2011-09-02 |
| 1750526323 | Megan Elizabeth Pratt | Mechanotherapist | 25925 Washington Blvd., Kingston, WA 98346 | 2008-12-10 |
| 1073787412 | Cindy Pamela Haines | Massage Therapist | 25925 Washington Boulevard Ne, Kingston, WA 98346 | 2008-04-16 |
| 1417163031 | Dian Aletha Poyssick | Pharmacist | 8196 State Route 104, Kingston, WA 98346 | 2007-05-14 |
| Find all providers in zip 98346 | ||||
| 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 |
|---|---|---|---|---|
| 1407466162 | Christa A Musto | Dentist | 575 Pierce St Ste 201, Kingston, PA 18704-5700 | 2020-08-06 |
| 1164041935 | Paige Backenstose | Dentist | 139 Pine St Ste 210, Kingston, NY 12401-4901 | 2020-04-13 |
| 1457994568 | Stephen Brand | Dentist | 401 Market St Ste 102, Kingston, PA 18704-5417 | 2019-10-21 |
| 1942657291 | Dr Lily Zhang, Dmd | Dentist | 150 Hurley Ave, Kingston, NY 12401-2812 | 2016-05-17 |
| 1346677630 | Sean M Couch Dds Ps | Dentist | 25985 Barber Cut Off Rd Ne, Suite B2, Kingston, WA 98346-9596 | 2013-10-01 |
| 1942476254 | Andrew L. Lee | Dentist | 1159 Ulster Ave, Aspen Dental, Kingston, NY 12401-1513 | 2008-05-06 |
| 1700073921 | Bharat C Patel | Dentist | 76 Maiden Ln, Kingston, NY 12401-4508 | 2007-10-02 |
| 1699971655 | Vincent D Gorman | Dentist | 1105 Locust St, Kingston, NY 12401-1038 | 2007-06-26 |
| 1356463582 | Sikander Hayat Mirza | Dentist | 622 Broad Way, Kingston, NY 12402-2557 | 2007-04-06 |
| 1124149455 | Jeffrey Ray Nelson | Dentist | 1109 Highway 70 N, Kingston, OK 73439-8232 | 2007-04-03 |
| Find all providers in KINGSTON | ||||
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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.