SOUTH SOUND FAMILY DENTISTRY – NPI #1801373683
Clinic/Center

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SOUTH SOUND FAMILY DENTISTRY is an AHC clinic located in OLYMPIA, WA. NPPES has assigned the NPI number 1801373683 to SOUTH SOUND FAMILY DENTISTRY on July 24, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOUTH SOUND FAMILY DENTISTRY below.

NPI Profile for
SOUTH SOUND FAMILY DENTISTRY

NPI Number

1801373683

Enumeration Date

Jul 24, 2018
(about 8 years ago)

Entity Type

Type-2 Organization

Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.

Legal Name

SOUTH SOUND FAMILY DENTISTRY

Other Name: SOUTH SOUND FAMILY DENTISTRY

Primary location

703 LILLY RD NE
OLYMPIA, WA 98506-5191

Phone: (360) 459-3400 Fax: (360) 459-9700

Mailing address

3702 BRIDGEPORT WAY W STE A
UNIVERSITY PLACE, WA 98466-4438

Phone: (253) 582-2408 Fax: (253) 584-7024

Organization Subpart

Yes - SOUTH SOUND FAMILY DENTISTRY is subpart of another organization.

Authorized Official

CAROL O'BRIEN
DENTIST/OWNER
Phone: (253) 582-2408

Updated

Jul 24, 2018

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization	State	License
261QD0000X - Clinic/Center / Dental (Primary)	WA	DE000087989

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.