Individual provider · Type 1 NPI

Daniel J. Thacker, D.D.S, P.S.

General Practice Dentistry · Kingston, WA

NPI number 1447478474 Active

Practice location

26114 Illinois Avenue, Suite A
Kingston, WA 98346-0149

Fax (360) 297-4331

Mailing address

PO Box 149, 26114 Illinois Ave
Kingston, WA 98346-0149

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XDE00005967 (WA)

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.

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About NPI 1447478474

Daniel J. Thacker, D.D.S, P.S.'s National Provider Identifier is 1447478474, issued on Apr 23, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Kingston, WA. The record was last updated on Jul 8, 2007.