DISTINCTIVE DENTISTRY
NPI 1396026209
Clinic/Center - Dental in Tacoma, WA
- Organization
- Clinic/Center
- Dental
About DISTINCTIVE DENTISTRY
This page provides the complete NPI Profile along with additional information for Distinctive Dentistry, a provider established in Tacoma, Washington operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1396026209 assigned on September 2011. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Distinctive Dentistry. The authorized official of this NPI record is Keith Martin Phillips D.m.d., M.s.d. (Owner)
- NPI
- 1396026209 Verify this NPI
- Provider Legal Name
- PHILLIPS DENTISTRY, PS.
- Other Organization Name
- DISTINCTIVE DENTISTRY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 5615 VALLEY AVE E TACOMA, WA 98424
- Location Phone
- (253) 922-6822
- Location Fax
- (253) 922-3513
- Mailing Address
- 5615 VALLEY AVE E FIFE, WA 98424
- Mailing Phone
- (253) 922-6822
- Mailing Fax
- (253) 922-3513
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-06-2011
- Last Update Date
- 01-08-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Dental
- Taxonomy Code
- 261QD0000X
- Type
- Ambulatory Health Care Facilities
- License State
- WA
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QD0000X | Ambulatory Health Care Facilities | Clinic/Center |
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396026209, enumerated as an "organization" on September 06, 2011.
The provider is located at 5615 VALLEY AVE E TACOMA, WA 98424 and the phone number is (253) 922-6822.
Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.
