EAGLE HARBOR DENTAL
NPI 1689020018
Clinic/Center - Dental in Bainbridge Island, WA
Active since May 04, 2016
710 ERICKSEN AVE NE STE 200, BAINBRIDGE ISLAND, WA 98110(206) 842-2646 Get Directions Write a Review
About Eagle Harbor Dental NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EAGLE HARBOR DENTAL (NPI 1689020018) is a healthcare organization registered as a dental in Bainbridge Island, Washington and active in the NPI registry since May 2016. The organization lists Orlando J Fugaro, Owner, as its authorized official.
NPPES Registry Identity
NPI1689020018
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameORLANDO J FUGARO DDS MSD PS
Location Address710 ERICKSEN AVE NE STE 200Bainbridge Island, WA 98110-2835
Mailing Address710 Ericksen Ave Ne Ste 200Bainbridge Island, WA 98110-2835 · (206) 842-2646
Phone(206) 842-2646
Organization SubpartNo
Authorized OfficialOrlando J FugaroOwner · (206) 842-2646
Enumeration DateMay 4, 2016
✔ NPI 1689020018 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in WA · 10104
710 ERICKSEN AVE NE STE 200, Bainbridge Island, WA 98110
Other Names 1
Doing Business AsEagle Harbor Dental
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1689020018, enumerated as an "organization" on May 04, 2016.
The provider is located at 710 ERICKSEN AVE NE STE 200 BAINBRIDGE ISLAND, WA 98110 and the phone number is (206) 842-2646.
Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.
