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PETERSON AND CAMMACK D.D.S. P.L.L.C NPI 1437494036


NPI Information

NPI: 1437494036
Provider Name: PETERSON AND CAMMACK, D.D.S., P.L.L.C
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
5201 CORPORATE CENTER CT SE
LACEY, WA
ZIP 98503
Phone: (360) 459-4420
Get Directions

PETERSON AND CAMMACK, D.D.S., P.L.L.C is a general practice dentist in Lacey, WA. The provider is 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. PETERSON AND CAMMACK, D.D.S., P.L.L.C NPI is 1437494036. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5201 CORPORATE CENTER CT SE
LACEY, WA
ZIP 98503-901
Phone: (360) 459-4420
Fax: (360) 459-4425

The provider's authorized official is Venn Roger Peterson .
The authorized official title is President and has the following contact phone number (360) 459-4420.

The enumeration date for this NPI number is 12/7/2012 and was last updated on 12/7/2012.


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
11223G0001XDentistGeneral PracticeDE00008985WASHINGTONYes

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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