OLYMPIC DENTAL & DENTURE CENTER,LLC (NPI# 1750409827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750409827 |
| Entity Type | Organization |
| Organization Name | OLYMPIC DENTAL & DENTURE CENTER,LLC |
| Practice Address |
3720 6th Ave Ste A Tacoma WA 98406-4938 |
| Practice Telephone | 2537521320 |
| Practice Fax Number | 2537521425 |
| Mailing Telephone | 2537521320 |
| Mailing Fax Number | 2537521425 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2010-02-11 |
| Authorized Official Name | MR. RICHARD C JOHNSON (OWNER) |
| Authorized Official Telephone | 2537521320 |
| Authorized Official Credential | LD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 5056817 | 05 | |
| WA | UNITED CONCORDIA | 2050411 | 01 |
| Street Address |
3720 6TH AVE STE A |
| City | TACOMA |
| State | WA |
| Zip Code | 98406-4938 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972068070 | Misty Molina, Arnp | Midwife | 6002 Westgateblvd., Ste 120, Tacoma, WA 98406 | 2019-02-04 |
| 1538641238 | Julianne Marie Silla | Behavior Technician | 4414 6th Ave., Tacoma, WA 98406 | 2018-08-30 |
| 1659851194 | Holli Fadem | Behavioral Analyst | 4414 6th Ave, Tacoma, WA 98406 | 2018-08-15 |
| 1275013682 | Josephine Lynn Daniels | Counselor | 5929 Westgate Blvd., Suite A, Tacoma, WA 98406 | 2018-08-15 |
| 1821520388 | Cayla Passmore | Home Health Aide | 7320 6th Ave, Apt 2, Tacoma, WA 98406 | 2017-04-03 |
| 1134587355 | Chelsey Babcock | Massage Therapist | 1919 N Pearl St., #a4, Tacoma, WA 98406 | 2016-02-02 |
| 1366888992 | Philip Jones / Thomas Henry, D.o.s., P.s. | Dentist | 2102 N. Pearl Street, Suite 202, Tacoma, WA 98406 | 2013-05-22 |
| 1548512866 | Suzanne R Webster | Occupational Therapy Assistant | 2301 N Mildred, Tacoma, WA 98406 | 2012-10-10 |
| 1457609943 | Erika R. Sagle | Specialist | 1807 N. Stevens St., Tacoma, WA 98406 | 2012-08-15 |
| 1457616104 | Catherine M Jones | Pharmacy Technician | 3601 6th Ave S., Tacoma, WA 98406 | 2012-07-09 |
| Find all providers in zip 98406 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558926055 | Doctors Crane Cramer Pllc | Clinic/Center | 2215 N 30th St Ste B, Tacoma, WA 98403-3350 | 2019-05-09 |
| 1538545637 | Roozbeh Khosravi | Clinic/Center | 3555 Mckinley Ave, Tacoma, WA 98404-2162 | 2015-07-31 |
| 1972918399 | Tacoma Dental and Implant Center Ps | Clinic/Center | 4704 South Oakes St #103, Tacoma, WA 98409 | 2014-06-24 |
| 1770809832 | Everlast Family Dental Clinic | Clinic/Center | 1212 S 11th St Ste 47, Tacoma, WA 98405-4021 | 2010-04-14 |
| 1528212354 | Alan F. Altman, Dds, PC | Clinic/Center | 2302 S Union Ave Ste A6, Tacoma, WA 98405-1332 | 2008-11-06 |
| 1609099464 | Mostafa Norooz, D.d.s., P.s. | Clinic/Center | 314 M. L. King Way, Suite #206, Tacoma, WA 98405 | 2007-04-10 |
| 1578503157 | John C. Winskill, D.d.s., P.s. | Clinic/Center | 2215 N 30th St, Suit #104, Tacoma, WA 98403 | 2006-06-08 |
| 1033723366 | Community Health Care | Clinic/Center | 3811 E Arlington Dr Rm 117, Tacoma, WA 98404-4613 | 2020-09-03 |
| 1417506049 | David R Hannula Dds Ps | Clinic/Center | 4146 6th Ave, Tacoma, WA 98406-4013 | 2019-09-06 |
| 1366959009 | Jed De La Paz LLC | Clinic/Center | 15 Oregon Ave, Tacoma, WA 98409-7461 | 2018-01-03 |
| Find all providers in TACOMA | ||||
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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.