Puyallup Valley Dental Care

LBN: Steven J Urback Dds Magd Ps
Puyallup Valley Dental Care is an health care organization with primary practice located at 2921 5Th Ave Ne Suite 110, Puyallup WA 98372-7044. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Steven J Urback Dds Magd Ps can be contacted via phone (253) 841-3173, or through Gideon, Lauren via phone (253) 841-3173.

Contact Information

Primary practice address
2921 5Th Ave Ne Suite 110 Puyallup WA 98372-7044
Phone: (253) 841-3173
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gideon, Lauren
Phone: (253) 841-3173

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 5496 Washington

Profile Details

NPI number 1114045804
LBN Legal business name Steven J Urback Dds Magd Ps
DBA Doing business as Puyallup Valley Dental Care
Authorized official Gideon, Lauren
Entity Organization
Organization subpart 1 No
Enumeration date Mar 27th, 2007
Last updated Jun 27th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114045804 NPPES
Washington MEDICAID 5047048

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