TACOMA DENTAL AND IMPLANT CENTER PS


Address: 4704 South Oakes St #103, Tacoma, WA 98409
Phone: 2534720152

TACOMA DENTAL AND IMPLANT CENTER PS (NPI# 1972918399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972918399
Entity Type Organization
Organization Name TACOMA DENTAL AND IMPLANT CENTER PS
Other Organization Name TACOMA DENTAL AND IMPLANT CENTER PS
Practice Address 4704 South Oakes St #103
Tacoma
WA 98409
Mailing Address 4704 S Oakes St Ste 103
Tacoma
WA 98409-6400
Practice Telephone 2534720152
Mailing Telephone 2534720152
Enumeration Date 2014-06-24
Last Update Date 2014-06-24
Authorized Official Name DR. YURIY BAGDASAROV (OWNER)
Authorized Official Telephone 2534720152
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QD0000X Clinic/Center
Specialization: Dental
DE00008641 WA Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Tacoma Dental and Implant Center PS Doing Business As Name - Organization

Other Data Sources

Entity Type Entity Name Entity Address
Washington State Corporations TACOMA DENTAL AND IMPLANT CENTER PS 4704 S Oakes Street #103, Tacoma, WA 98409

Office Location

Street Address 4704 SOUTH OAKES ST #103
City TACOMA
State WA
Zip Code 98409

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053942805 Terah Jo Barker Behavior Technician 4301 South Pine St., Suite 505, Tacoma, WA 98409 2020-01-30
1427526797 Carrissa Bentley Social Worker 3901 S. Fife Street, Tacoma, WA 98409 2018-11-05
1396255972 Julie Ann Sunada Nurse Practitioner 2505 S 38th St Ste 109, Tacoma, WA 98409 2017-10-09
1306389820 Laura Town Chiropractor 3640 S Cedar St, Ste P, Tacoma, WA 98409 2016-12-01
1114476082 Chelsea Marie Jensen Massage Therapist 701 Commerce Street Apartment 307, Tacoma, WA 98409 2016-10-03
1831574730 Artika Naidu Optometrist 4502 South Steele #700, Located Inside Macy's Lenscrafters, Tacoma, WA 98409 2015-07-22
1457795957 Ana Amparo Penas Vasquez Clinical Nurse Specialist 2505 South 38th St, Bldg A Suite 109, Tacoma, WA 98409 2013-04-26
1033452156 Richard William Solitaire Counselor 4301 S. Pine St., 30-19, Tacoma, WA 98409 2013-03-27
1790042810 Tara Kerin Garland Counselor 5921 S. Verde St., Tacoma, WA 98409 2012-04-13
1942591532 Kaiser Foundation Health Plan of Washington Clinic/Center 5821 S Sprague Court, Tacoma, WA 98409 2011-04-29
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Taxonomy Information

Taxonomy Code 261QD0000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Dental

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558926055 Doctors Crane Cramer Pllc Clinic/Center 2215 N 30th St Ste B, Tacoma, WA 98403-3350 2019-05-09
1538545637 Roozbeh Khosravi Clinic/Center 3555 Mckinley Ave, Tacoma, WA 98404-2162 2015-07-31
1770809832 Everlast Family Dental Clinic Clinic/Center 1212 S 11th St Ste 47, Tacoma, WA 98405-4021 2010-04-14
1528212354 Alan F. Altman, Dds, PC Clinic/Center 2302 S Union Ave Ste A6, Tacoma, WA 98405-1332 2008-11-06
1609099464 Mostafa Norooz, D.d.s., P.s. Clinic/Center 314 M. L. King Way, Suite #206, Tacoma, WA 98405 2007-04-10
1750409827 Olympic Dental & Denture Center,llc Clinic/Center 3720 6th Ave Ste A, Tacoma, WA 98406-4938 2007-03-27
1578503157 John C. Winskill, D.d.s., P.s. Clinic/Center 2215 N 30th St, Suit #104, Tacoma, WA 98403 2006-06-08
1033723366 Community Health Care Clinic/Center 3811 E Arlington Dr Rm 117, Tacoma, WA 98404-4613 2020-09-03
1417506049 David R Hannula Dds Ps Clinic/Center 4146 6th Ave, Tacoma, WA 98406-4013 2019-09-06
1366959009 Jed De La Paz LLC Clinic/Center 15 Oregon Ave, Tacoma, WA 98409-7461 2018-01-03
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Competitor

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City TACOMA
Zip Code 98409

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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