SOUTH PUGET SOUND COMMUNITY COLLEGE
NPI 1104951565
Dentist - General Practice in Olympia, WA

Q: What is South Sound Community College's NPI number?

The NPI number for South Sound Community College is 1104951565. It was assigned to this organization in the NPPES registry on February 23, 2007. The provider is doing business as South Puget Sound Community College.

Q: What is South Sound Community College's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since February 23, 2007

2011 MOTTMAN RD, OLYMPIA, WA 98512(360) 596-5295(360) 596-5707 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About South Puget Sound Community College NPPES

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

SOUTH PUGET SOUND COMMUNITY COLLEGE (NPI 1104951565) is a healthcare organization registered as a general practice in Olympia, Washington and active in the NPI registry since February 2007. The organization lists Nancy L Mckinney, Vp For Admin Svcs, as its authorized official.

NPPES Registry Identity

NPI1104951565

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameSOUTH SOUND COMMUNITY COLLEGE

Location Address2011 MOTTMAN RDOlympia, WA 98512-6292

Mailing Address2011 Mottman RdOlympia, WA 98512-6292 · (360) 596-5295 · Fax (360) 596-5707

Phone(360) 596-5295

Fax(360) 596-5707

Organization SubpartNo

Authorized OfficialNancy L MckinneyVp For Admin Svcs · (360) 596-5268

Enumeration DateFebruary 23, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1104951565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

2011 MOTTMAN RD, Olympia, WA 98512

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Other Names 1

Doing Business AsSouth Puget Sound Community College

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

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 South Sound Community College's NPI number?

The NPI number for South Sound Community College is 1104951565. It was assigned to this organization in the NPPES registry on February 23, 2007. The provider is doing business as South Puget Sound Community College.

Where is South Sound Community College located?

South Sound Community College is located at 2011 Mottman Rd, Olympia, WA 98512. The listed phone number is (360) 596-5295.

What is South Sound Community College's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for South Sound Community College was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.