Organization · Type 2 NPI

Ehrmantrout & Davidson, PLLC

Pediatric Dentistry · Lacey, WA

NPI number 1134564032 Active

Practice location

8685 Martin Way E Ste 101
Lacey, WA 98516-5857

Fax (360) 491-1270

Specialties and licenses

Taxonomy	Code	License
Pediatric Dentistry Primary	1223P0221X	DE60112868 (WA)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Another provider at this address

Bo M. Davidson, DDS, M.S.Pediatric Dentistry Lacey, WA NPI 1487827275

NPI record

NPI: 1134564032
Entity type: Organization (Type 2)
Issued: May 6, 2013
Last updated: Sep 21, 2018
Status: Active

Other names

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Hawks Prairie Pediatric Dentistry/ West Olympia Kids Dentistry · doing business as
Hawks Prairie Pediatric Dentistry/ West Olympia Kids Dentistry · doing business as

Authorized official

Mr. Kenneth A Bloch
Attorney
(206) 682-3840

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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 1134564032

Ehrmantrout & Davidson, PLLC's National Provider Identifier is 1134564032, issued on May 6, 2013. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Lacey, WA. The record was last updated on Sep 21, 2018.