Organization · Type 2 NPI

Soper Enterprises-Burien Ii, PLLC

Pediatric Dentistry · Burien, WA

NPI number 1962197087 Active

Practice location

15105 5th Ave SW
Burien, WA 98166-3072

Fax (206) 210-5621

Specialties and licenses

Taxonomy	Code	License
Pediatric Dentistry Primary	1223P0221X	None listed

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

Kim Soper PLLCPediatric Dentistry Burien, WA NPI 1861398042

Other pediatric dentistry providers in Burien

See all in Burien →

NPI record

NPI: 1962197087
Entity type: Organization (Type 2)
Issued: Apr 5, 2023
Last updated: Apr 5, 2023
Status: Active
Subpart: Yes of Advanced Management Services Collective

Other names

Advanced Kids Dentistry Burien · doing business as

Authorized official

Barton L Soper, DDS, MS, PLLC
Owner
(425) 747-9494

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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 1962197087

Soper Enterprises-Burien Ii, PLLC's National Provider Identifier is 1962197087, issued on Apr 5, 2023. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Burien, WA. The record was last updated on Apr 5, 2023.