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ELEVEN ELEVEN DENTAL
NPI 1073763041
Clinic/Center - Dental in Port Angeles, WA

Active since September 25, 2008
1111 COLUMBIA ST, PORT ANGELES, WA 98362(360) 457-3183 Get Directions Write a Review

NPPES record last updated: September 25, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eleven Eleven Dental NPPES

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

ELEVEN ELEVEN DENTAL (NPI 1073763041) is a healthcare organization registered as a dental in Port Angeles, Washington and active in the NPI registry since September 2008. The organization lists Gregory L Birch, President/owner, as its authorized official.

NPPES Registry Identity

NPI1073763041
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameELEVEN ELEVEN DENTAL
Location Address1111 COLUMBIA STPort Angeles, WA 98362-4207
Mailing Address1111 Columbia StPort Angeles, WA 98362-4207 · (360) 457-3183
Phone(360) 457-3183
Organization SubpartNo
Authorized OfficialGregory L BirchPresident/owner · (360) 457-3183
Enumeration DateSeptember 25, 2008
✔ NPI 1073763041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in WA · 602789281
1111 COLUMBIA ST, Port Angeles, WA 98362
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Other Providers at the Same Location NPPES 3

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

LIVER
Dentist (General Practice)
1111 COLUMBIA ST
PORT ANGELES, WA 98362
Clallam County (360) 565-5066
CARLILE BIRCH NOBLE CRAMER PLLC
Clinic/Center (Dental)
1111 COLUMBIA ST
PORT ANGELES, WA 98362
Clallam County (360) 357-4500
DR. GREGORY L BIRCH DDS
Dentist
1111 COLUMBIA ST
PORT ANGELES, WA 98362
Clallam County (360) 457-3183

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 Eleven Eleven Dental's NPI number?

The NPI number for Eleven Eleven Dental is 1073763041. It was assigned to this organization in the NPPES registry on September 25, 2008.

Where is Eleven Eleven Dental located?

Eleven Eleven Dental is located at 1111 Columbia St, Port Angeles, WA 98362. The listed phone number is (360) 457-3183.

What is Eleven Eleven Dental's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Eleven Eleven Dental was last updated on September 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.