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ST. ANTHONY'S FAMILY DENTISTRY LLC NPI 1386973964


NPI Information

NPI: 1386973964
Provider Name: ST. ANTHONY'S FAMILY DENTISTRY, LLC
Classification: Dentist - 122300000X
Entity Type: Organization

CLIA Number: 50D1095581

Address:
11511 CANTERWOOD BLVD NW
STE. 120
GIG HARBOR, WA
ZIP 98332
Phone: (253) 857-2483
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ST. ANTHONY'S FAMILY DENTISTRY, LLC is a dentist in Gig Harbor, WA. The provider is a dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. ST. ANTHONY'S FAMILY DENTISTRY, LLC NPI is 1386973964. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11511 CANTERWOOD BLVD NW
STE. 120
GIG HARBOR, WA
ZIP 98332-813
Phone: (253) 857-2483

The provider's authorized official is Mark D. Johnson .
The authorized official title is President and has the following contact phone number (253) 857-2483.

The CLIA number assigned to this NPI record is 50D1095581 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 12/10/2009 and was last updated on 12/10/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1122300000XDentist5841WASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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