is a Dental Clinic in Puyallup, Washington. It is located at 8012 112th Street Ct E Ste 320, Puyallup, WA and its contact number is 253-848-2331. The authorized person for is Steven Broughton
who is President of the clinic and their contact number is 253-848-2331. The primary license number for is DE60661826 (Dentist) in Washington. Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Specialization:
Dentistry
Clinic Address:
8012 112th Street Ct E Ste 320, Puyallup, Washington, 98373-7856
Phone:
253-848-2331
Fax:
253-840-4033
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Steven Broughton
Position:
President
Contact Number:
253-848-2331
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for clinic are as mentioned below.
NPI Number:
1508311762
NPI Enumeration Date:
17 Aug, 2016
NPI Last Update On:
17 Aug, 2016
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for are as mentioned below.
Specialization
License Number
State
Status
Dentist
DE60661826
Washington
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
8012 112th Street Ct E Ste 320, Puyallup, Washington
Zip:
98373-7856
Phone Number:
253-848-2331
Fax Number:
253-840-4033
Patients can reach at 8012 112th Street Ct E Ste 320, Puyallup, Washington or can call to book an appointment on 253-848-2331. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 February, 2025.