Panther Lake Dental is a Dental Clinic in Kent, Washington. It is located at 10920 Se 208th St, Kent, WA and its contact number is 253-854-1222. The authorized person for Panther Lake Dental is Jay D Deiglmeier
who is President of the clinic and their contact number is 253-854-1222. Other organizations associated with this clinic are Jay D. Deiglmeier Dds. Ps, Silas D. Dudley, D.d.s., M.s.d., P.l.l.c., Robert B. Rourke D.d.s., P.s., Cameron Freelove Dds Ms Pllc, East Hill Endodontics, The primary license number for Panther Lake Dental is DE00007064 (General Practice) in Washington. Panther Lake Dental Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Panther Lake Dental Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Panther Lake Dental
Specialization:
General Practice Dentistry
Clinic Address:
10920 Se 208th St, Kent, Washington, 98031-4009
Phone:
253-854-1222
Fax:
253-859-1269
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:
Jay D Deiglmeier
Position:
President
Contact Number:
253-854-1222
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 Panther Lake Dental clinic are as mentioned below.
NPI Number:
1316010531
NPI Enumeration Date:
16 Nov, 2006
NPI Last Update On:
22 Aug, 2020
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
Name
Specialization
NPI Number
Jay D. Deiglmeier Dds. Ps
General Practice Dentistry
1316010531
Silas D. Dudley, D.d.s., M.s.d., P.l.l.c.
Orthodontics and Dentofacial Orthopedics
1376808402
Robert B. Rourke D.d.s., P.s.
Orthodontics and Dentofacial Orthopedics
1457564536
Cameron Freelove Dds Ms Pllc
Orthodontics and Dentofacial Orthopedics
1932867595
East Hill Endodontics
Endodontics
1982057238
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Panther Lake Dental are as mentioned below.
Specialization
License Number
State
Status
General Practice
DE00007064
Washington
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
DE7654
Other
Washington
Regence
5025788
Medicaid
Washington
103746
Other
Washington
L & I
57064
Other
Washington
Wds
5023221
Medicaid
Washington
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Panther Lake Dental 10920 Se 208th St, Kent, Washington
Zip:
98031-4009
Phone Number:
253-854-1222
Fax Number:
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Patients can reach Panther Lake Dental at 10920 Se 208th St, Kent, Washington or can call to book an appointment on 253-854-1222. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.