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BANICH FAMILY DENTAL NPI 1730497983


NPI Information

NPI: 1730497983
Provider Name: BANICH FAMILY DENTAL

Doing Business As: STEVEN G. BANICH DDS PLLC

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
775 S MAIN ST
STE C
COLVILLE, WA
ZIP 99114
Phone: (509) 684-4586
Get Directions

BANICH FAMILY DENTAL is a general practice dentist in Colville, 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. BANICH FAMILY DENTAL NPI is 1730497983. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Steven G. Banich Dds Pllc.

The provider's business location address is:

775 S MAIN ST
STE C
COLVILLE, WA
ZIP 99114-514
Phone: (509) 684-4586
Fax: (509) 685-1043

The provider's authorized official is Julie Ann Mace .
The authorized official title is Office Manager and has the following contact phone number (509) 684-4586.

The enumeration date for this NPI number is 9/22/2010 and was last updated on 9/22/2010.


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 Practice606128-00-5WASHINGTONYes

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
15513106MEDICAIDWASHINGTON

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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