Organization · Type 2 NPI

Dental Professionals of Washington Quirt Mongrain Gibree PC

General Practice Dentistry · Lacey, WA

NPI number 1104566728 Active

Practice location

4445 Lacey Blvd SE
Lacey, WA 98503-5716

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None listed

General Practice Dentistry: 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.

4 other providers at this address

Other general practice dentistry providers in Lacey

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NPI record

NPI: 1104566728
Entity type: Organization (Type 2)
Issued: Mar 31, 2022
Last updated: Apr 13, 2022
Status: Active
Subpart: Yes of Dental Professionals of Washington Quirt Mongrain Gibree PC

Other names

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Family Dentistry On Lacey · doing business as

Authorized official

Hillary Thull
Credentialing Coordinator
(217) 540-8946

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1104566728

Dental Professionals of Washington Quirt Mongrain Gibree PC's National Provider Identifier is 1104566728, issued on Mar 31, 2022. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Lacey, WA. The record was last updated on Apr 13, 2022.