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IM PROFESSIONAL SERVICES LLC NPI 1497470181


NPI Information

NPI: 1497470181
Provider Name: IM PROFESSIONAL SERVICES LLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
1040 NE HOSTMARK ST STE 100A
POULSBO, WA
ZIP 98370
Phone: (360) 779-4556
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IM PROFESSIONAL SERVICES LLC is a dental clinic center in Poulsbo, WA. IM PROFESSIONAL SERVICES LLC NPI is 1497470181. The provider is registered as an organization entity type.

The provider's business location address is:

1040 NE HOSTMARK ST STE 100A
POULSBO, WA
ZIP 98370-337
Phone: (360) 779-4556
Fax: (360) 779-1212

The provider's authorized official is Patrick Im .
The authorized official title is Owner and has the following contact phone number (360) 779-4556.

The enumeration date for this NPI number is 10/5/2022 and was last updated on 10/5/2022.


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
1261QD0000XClinic/CenterDentalYes

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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