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SOUTH SOUND FAMILY DENTISTRY
NPI 1164585634
Dentist - General Practice in Olympia, WA

Active since December 18, 2006
703 LILLY RD NE STE 201, OLYMPIA, WA 98506(360) 459-3400 Get Directions Write a Review

NPPES record last updated: April 19, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About South Sound Family Dentistry NPPES

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

SOUTH SOUND FAMILY DENTISTRY (NPI 1164585634) is a healthcare organization registered as a general practice in Olympia, Washington and active in the NPI registry since December 2006. The organization lists Levi G Green, President, as its authorized official.

NPPES Registry Identity

NPI1164585634
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSOUTH SOUND FAMILY DENTISTRY, PLLC
Location Address703 LILLY RD NE STE 201Olympia, WA 98506-5256
Mailing Address703 Lilly Rd Ne Ste 201Olympia, WA 98506-5256 · (360) 459-3400
Phone(360) 459-3400
Organization SubpartNo
Authorized OfficialLevi G GreenPresident · (360) 459-3400
Enumeration DateDecember 18, 2006
Last NPPES UpdateApril 19, 2016
✔ NPI 1164585634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in WA · 9986✔ Licensed in WA · DE00009986
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.
703 LILLY RD NE STE 201, Olympia, WA 98506
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Other Names 1

Other NameSouth Sound Family Dentistry

Other Identifiers 1

Other0215386WA · L & I Group Provider #

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

DR. LEVI G GREEN DDS
Dentist (General Practice)
703 LILLY RD NE STE 201
OLYMPIA, WA 98506
Thurston County (360) 459-3400
ALTHEA ANN ACOSTA DDS
Dentist
703 LILLY RD NE STE 201
OLYMPIA, WA 98506
Thurston County (360) 459-3400

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 Family Dentistry, PLLC's NPI number?

The NPI number for South Sound Family Dentistry, PLLC is 1164585634. It was assigned to this organization in the NPPES registry on December 18, 2006. The provider is also known as South Sound Family Dentistry.

Where is South Sound Family Dentistry, PLLC located?

South Sound Family Dentistry, PLLC is located at 703 Lilly Rd NE Ste 201, Olympia, WA 98506. The listed phone number is (360) 459-3400.

What is South Sound Family Dentistry, PLLC'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 Family Dentistry, PLLC was last updated on April 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.