Organization · Type 2 NPI

Quirt, Mongrain, Gibree Professional Services, PC

Periodontics · Marysville, WA

NPI number 1215674163 Active

Practice location

5100 Grove St Ste A
Marysville, WA 98270-4492

Specialties and licenses

Taxonomy	Code	License
Periodontics Primary	1223P0300X	None listed

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

NPI record

NPI: 1215674163
Entity type: Organization (Type 2)
Issued: May 12, 2022
Last updated: Jun 3, 2022
Status: Active
Subpart: Yes of Quirt, Mongrain, Gibree Professional Services, PC

Other names

<unavail>
Marysville Periodontal and Implant Center · doing business as
Marysville Periodontal and Implant Center · doing business as

Authorized official

Courtney R Monteith
Credentialing Coordinator
(217) 540-8306

Verify this record

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.

Is this your record? How to update it.

About NPI 1215674163

Quirt, Mongrain, Gibree Professional Services, PC's National Provider Identifier is 1215674163, issued on May 12, 2022. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Marysville, WA. The record was last updated on Jun 3, 2022.