RANDLE DENTAL CLINIC NPI 1801143110

NPI Information

NPI: 1801143110
Provider Name: RANDLE DENTAL CLINIC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
214 SILVERBROOK RD
RANDLE, WA
ZIP 98377
Phone: (360) 497-5741
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RANDLE DENTAL CLINIC is a dental clinic center in Randle, WA. RANDLE DENTAL CLINIC NPI is 1801143110. The provider is registered as an organization entity type.

The provider's business location address is:

214 SILVERBROOK RD
RANDLE, WA
ZIP 98377
Phone: (360) 497-5741
Fax: (360) 497-5744

The provider's authorized official is Ryan Lemert .
The authorized official title is Dentist/owner and has the following contact phone number (503) 866-4741.

The enumeration date for this NPI number is 8/7/2012 and was last updated on 8/7/2012.

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
1	261QD0000X	Clinic/Center	Dental	DE60298156	WASHINGTON	Yes

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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