| Thomas Backus DDS, PLLC | |
|
11818 Se Mill Plain Blvd Ste 106 Vancouver WA 98684-5089 | |
| (360) 896-5150 | |
| Not Available |
| Full Name | Thomas Backus DDS, PLLC |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 11818 Se Mill Plain Blvd Ste 106, Vancouver, Washington |
| Authorized Official Name and Position | Thomas Backus (OWNER/DENTIST) |
| Authorized Official Contact | 3607718987 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Backus DDS, PLLC 11818 Se Mill Plain Blvd Ste 106 Vancouver WA 98684-5089 Ph: (360) 896-5150 | Thomas Backus DDS, PLLC 11818 Se Mill Plain Blvd Ste 106 Vancouver WA 98684-5089 Ph: (360) 896-5150 |
| NPI Number | 1871417964 |
|---|---|
| Provider Enumeration Date | 08/10/2026 |
| Last Update Date | 08/10/2026 |
| Certification Date | 08/10/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871417964 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (NU) | Primary |
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