Organization · Type 2 NPI

Dental Professionals of Washington, Quirt, Mongrain, Gibree, PC

General Practice Dentistry · Tacoma, WA

NPI number 1710763784 Active

Practice location

17513 Canyon Pkwy E Ste 103
Tacoma, WA 98446-7500

Fax (253) 330-8938

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.

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NPI record

NPI: 1710763784
Entity type: Organization (Type 2)
Issued: Sep 6, 2023
Last updated: Sep 6, 2023
Status: Active
Subpart: Yes of Dental Professionals of Washington, Quirt, Mongrain, Gibree, PC

Other names

Clover Creek Dental Care · doing business as

Authorized official

Belinda Huerta
Credentialing Coordinator
(217) 540-2100

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.

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About NPI 1710763784

Dental Professionals of Washington, Quirt, Mongrain, Gibree, PC's National Provider Identifier is 1710763784, issued on Sep 6, 2023. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Tacoma, WA. The record was last updated on Sep 6, 2023.