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TOOTH FAIRIES LLC NPI 1720214976


NPI Information

NPI: 1720214976
Provider Name: TOOTH FAIRIES LLC
Classification: Dental Hygienist - 124Q00000X
Entity Type: Organization
Address:
146 CORMORANT DR
STEILACOOM, WA
ZIP 98388
Phone: (253) 905-1692
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TOOTH FAIRIES LLC is a dental hygienist in Steilacoom, WA. The provider is an individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. TOOTH FAIRIES LLC NPI is 1720214976. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

146 CORMORANT DR
STEILACOOM, WA
ZIP 98388-720
Phone: (253) 905-1692

The provider's authorized official is Nancy C Alleman .
The authorized official title is Ceo and has the following contact phone number (253) 905-1682.

The enumeration date for this NPI number is 6/2/2009 and was last updated on 6/2/2009.


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
1124Q00000XDental HygienistDH00001654WASHINGTONYes

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
15902002MEDICAIDWASHINGTON

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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