| South Tacoma Dental Llc | |
|
223 140th St S Tacoma WA 98444 | |
| (253) 537-1559 | |
| (253) 472-3016 |
| Full Name | South Tacoma Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 223 140th St S, Tacoma, Washington |
| Authorized Official Name and Position | Matthew Nuttall (PARTNER/OWNER) |
| Authorized Official Contact | 2535371559 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Tacoma Dental Llc 223 140th St S Tacoma WA 98444 Ph: (253) 537-1559 | South Tacoma Dental Llc 223 140th St S Tacoma WA 98444 Ph: (253) 537-1559 |
| NPI Number | 1396080032 |
|---|---|
| Provider Enumeration Date | 12/06/2012 |
| Last Update Date | 02/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396080032 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE60178653 (Washington) | Primary |
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