HARBOR KIDS DENTAL & ORTHODONTICS OF TACOMA PC
NPI 1639536097
Dentist - General Practice in Tacoma, WA

Active since January 15, 2016
4002 S M ST, TACOMA, WA 98418(253) 474-0606(253) 537-5438 Get Directions Write a Review

NPPES record last updated: January 15, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Harbor Kids Dental & Orthodontics Of Tacoma Pc NPPES

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

HARBOR KIDS DENTAL & ORTHODONTICS OF TACOMA PC (NPI 1639536097) is a healthcare organization registered as a general practice in Tacoma, Washington and active in the NPI registry since January 2016. The organization lists Justin L Vanbibber, Owner, as its authorized official.

NPPES Registry Identity

NPI1639536097
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameHARBOR KIDS DENTAL & ORTHODONTICS OF TACOMA PC
Location Address4002 S M STTacoma, WA 98418-3800
Mailing Address4002 S M StTacoma, WA 98418-3800 · (253) 474-0606 · Fax (253) 537-5438
Fax(253) 537-5438
Organization SubpartNo
Authorized OfficialJustin L VanbibberOwner · (253) 537-5437
Enumeration DateJanuary 15, 2016
NPI 1639536097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in WA · DE60282727
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.
4002 S M ST, Tacoma, WA 98418

Other Identifiers 1

OtherDE60282727WA · Dental License

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Clinic/Center (Rehabilitation, Substance Use Disorder)
4002 S M ST, SUITE C
TACOMA, WA 98418

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 Harbor Kids Dental & Orthodontics Of Tacoma PC's NPI number?

The NPI number for Harbor Kids Dental & Orthodontics Of Tacoma PC is 1639536097. It was assigned to this organization in the NPPES registry on January 15, 2016.

Where is Harbor Kids Dental & Orthodontics Of Tacoma PC located?

Harbor Kids Dental & Orthodontics Of Tacoma PC is located at 4002 S M St, Tacoma, WA 98418. The listed phone number is (253) 474-0606.

What is Harbor Kids Dental & Orthodontics Of Tacoma PC'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 Harbor Kids Dental & Orthodontics Of Tacoma PC was last updated on January 15, 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.