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SOUTH HILL CHILDREN'S DENTISTRY
NPI 1619396652
Dentist - Pediatric Dentistry in Puyallup, WA

Active since April 07, 2014
11102 SUNRISE BLVD E STE 108, PUYALLUP, WA 98374(253) 209-7555 Get Directions Write a Review

NPPES record last updated: April 7, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About South Hill Children's Dentistry NPPES

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

SOUTH HILL CHILDREN'S DENTISTRY (NPI 1619396652) is a healthcare organization registered as a pediatric dentistry in Puyallup, Washington and active in the NPI registry since April 2014. The organization lists Clara Winona Brannan, Pediatric Dentist, as its authorized official.

NPPES Registry Identity

NPI1619396652
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameCLARA W BRANNAN DDS, PS
Location Address11102 SUNRISE BLVD E STE 108Puyallup, WA 98374-8846
Mailing Address11102 Sunrise Blvd E Ste 108Puyallup, WA 98374-8846 · (253) 209-7555
Phone(253) 209-7555
Organization SubpartNo
Authorized OfficialClara Winona BrannanPediatric Dentist · (253) 209-7555
Enumeration DateApril 7, 2014
✔ NPI 1619396652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in WA · DE00010981
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
11102 SUNRISE BLVD E STE 108, Puyallup, WA 98374
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Other Names 1

Other NameSouth Hill Children's Dentistry

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 Clara W Brannan Dds, Ps's NPI number?

The NPI number for Clara W Brannan Dds, Ps is 1619396652. It was assigned to this organization in the NPPES registry on April 7, 2014. The provider is also known as South Hill Children's Dentistry.

Where is Clara W Brannan Dds, Ps located?

Clara W Brannan Dds, Ps is located at 11102 Sunrise Blvd E Ste 108, Puyallup, WA 98374. The listed phone number is (253) 209-7555.

What is Clara W Brannan Dds, Ps's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Clara W Brannan Dds, Ps was last updated on April 7, 2014. 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.