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LIVER
NPI 1619802758
Dentist - General Practice in Port Angeles, WA

Active since June 17, 2026
1111 COLUMBIA ST, PORT ANGELES, WA 98362(360) 565-5066 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Liver NPPES

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

LIVER (NPI 1619802758), doing business as Eleven Eleven Dental, is a healthcare organization registered as a general practice in Port Angeles, Washington and active in the NPI registry since June 2026. The organization lists Ethan Livermont, Owner/partner, as its authorized official.

NPPES Registry Identity

NPI1619802758
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLIVER
Location Address1111 COLUMBIA STPort Angeles, WA 98362-4207
Mailing Address150 W Sequim Bay RdSequim, WA 98382-8406 · (360) 565-5066
Phone(360) 565-5066
Organization SubpartNo
Authorized OfficialEthan LivermontOwner/partner · (360) 565-5066
Enumeration DateJune 17, 2026
NPPES CertifiedJune 17, 2026
✔ NPI 1619802758 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.
1111 COLUMBIA ST, Port Angeles, WA 98362
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Other Names 1

Doing Business AsEleven Eleven Dental

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

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.

ELEVEN ELEVEN DENTAL
Clinic/Center (Dental)
1111 COLUMBIA ST
PORT ANGELES, WA 98362
Clallam County (360) 457-3183
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 Liver's NPI number?

The NPI number for Liver is 1619802758. It was assigned to this organization in the NPPES registry on June 17, 2026. The provider is doing business as Eleven Eleven Dental.

Where is Liver located?

Liver is located at 1111 Columbia St, Port Angeles, WA 98362. The listed phone number is (360) 565-5066.

What is Liver'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 Liver was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 days 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.