A NEW IMAGE DENTURE CLINIC
NPI 1003237538
Denturist in Puyallup, WA

Active since December 31, 2013
2811 E MAIN, PUYALLUP, WA 98372(253) 770-7707(253) 770-8784 Get Directions Write a Review

NPPES record last updated: December 31, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About A New Image Denture Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

A NEW IMAGE DENTURE CLINIC (NPI 1003237538) is a healthcare organization registered as a denturist in Puyallup, Washington and active in the NPI registry since December 2013. The organization lists Peter Nabegh Ghattas, Denturist, as its authorized official.

NPPES Registry Identity

NPI1003237538
Entity TypeOrganization
Primary Taxonomy122400000X
Legal Business NameA NEW IMAGE DENTURE CLINIC
Location Address2811 E MAINPuyallup, WA 98372-3167
Mailing Address2811 E MainPuyallup, WA 98372-3167 · (253) 770-7707 · Fax (253) 770-8784
Fax(253) 770-8784
Organization SubpartNo
Authorized OfficialPeter Nabegh GhattasDenturist · (253) 770-7707
Enumeration DateDecember 31, 2013
NPI 1003237538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDenturistDental Providers
Taxonomy Code122400000X
License Licensed in WA · DN00000199
Definition
A denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices.
2811 E MAIN, Puyallup, WA 98372

Other Identifiers 1

Medicaid5027412WA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Denturist
2811 E MAIN
PUYALLUP, WA 98372

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is A New Image Denture Clinic's NPI number?

The NPI number for A New Image Denture Clinic is 1003237538. It was assigned to this organization in the NPPES registry on December 31, 2013.

Where is A New Image Denture Clinic located?

A New Image Denture Clinic is located at 2811 E Main, Puyallup, WA 98372. The listed phone number is (253) 770-7707.

What is A New Image Denture Clinic's specialty?

The primary specialty registered for this NPI is Denturist with taxonomy code 122400000X.

When was this NPI record last updated?

The NPPES record for A New Image Denture Clinic was last updated on December 31, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.