Organization · Type 2 NPI

South Sound Family Dentistry

Dental Clinic/Center · Olympia, WA

NPI number 1801373683 Active

Practice location

703 Lilly Rd NE
Olympia, WA 98506-5191

Call (360) 459-3400 Map

Fax (360) 459-9700

Mailing address

3702 Bridgeport Way W Ste A
University Place, WA 98466-4438

Specialties and licenses

Taxonomy	Code	License
Dental Clinic/Center Primary	261QD0000X	DE000087989 (WA)

Dental Clinic/Center: Definition to come...

6 other providers at this address

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NPI record

NPI: 1801373683
Entity type: Organization (Type 2)
Issued: Jul 24, 2018
Last updated: Jul 24, 2018
Status: Active
Subpart: Yes of Carol A. O'Brien, Dds, PS

Other names

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South Sound Family Dentistry · other name

Authorized official

Carol A O'Brien, DDS, PS INC
Dentist/owner
(253) 582-2408

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About NPI 1801373683

South Sound Family Dentistry's National Provider Identifier is 1801373683, issued on Jul 24, 2018. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Olympia, WA. The record was last updated on Jul 24, 2018.