is a Dental Clinic in Puyallup, Washington. It is located at 2921 5th Ave Ne, Suite 110, Puyallup, WA and its contact number is 253-841-3173. The authorized person for is Lauren Gideon
who is Office Manager of the clinic and their contact number is 253-841-3173. Other organizations associated with this clinic are Steven J Urback Dds Magd Ps, Kaldestad & Gill, Pllc, The primary license number for is 5496 (General Practice) in Washington. 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:
Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Specialization:
General Practice Dentistry
Clinic Address:
2921 5th Ave Ne, Suite 110, Puyallup, Washington, 98372-7044
Phone:
253-841-3173
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:
Lauren Gideon
Position:
Office Manager
Contact Number:
253-841-3173
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:
1114045804
NPI Enumeration Date:
27 Mar, 2007
NPI Last Update On:
27 Jun, 2008
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
Steven J Urback Dds Magd Ps
General Practice Dentistry
1114045804
Kaldestad & Gill, Pllc
Endodontics
1528318425
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
General Practice
5496
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
5047048
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:
2921 5th Ave Ne, Suite 110 Puyallup, Washington
Zip:
98372-7044
Phone Number:
253-841-3173
Patients can reach at 2921 5th Ave Ne, Suite 110, Puyallup, Washington or can call to book an appointment on 253-841-3173. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 February, 2025.