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TULALIP TRIBES OF WASHINGTON NPI 1447530399


NPI Information

NPI: 1447530399
Provider Name: TULALIP TRIBES OF WASHINGTON

Doing Business As: TULALIP TRIBES DENTAL CLINIC

Classification: Dentist - 122300000X
Entity Type: Organization
Address:
7520 TOTEM BEACH RD
TULALIP, WA
ZIP 98271
Phone: (360) 716-4511
Get Directions

TULALIP TRIBES OF WASHINGTON is a dentist in Tulalip, 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. TULALIP TRIBES OF WASHINGTON NPI is 1447530399. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Tulalip Tribes Dental Clinic.

The provider's business location address is:

7520 TOTEM BEACH RD
TULALIP, WA
ZIP 98271
Phone: (360) 716-4511
Fax: (360) 716-5789

The provider's authorized official is Christopher Kinslow .
The authorized official title is Dental Director and has the following contact phone number (360) 716-4511.

The enumeration date for this NPI number is 8/24/2011 and was last updated on 11/3/2022.


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
1122300000XDentistDE00007477WASHINGTONNo
2122300000XDentistDE60104988WASHINGTONNo
3122300000XDentistDE00010342WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12014972MEDICAIDWASHINGTON

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.