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MOBILE DENTAL NORTHWEST, LLC
NPI 1700148152
Dentist - General Practice in Tacoma, WA

Active since June 12, 2012
1622 S MILDRED ST, SUITE B, TACOMA, WA 98465(253) 432-4795 Get Directions Write a Review

NPPES record last updated: June 12, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mobile Dental Northwest, Llc NPPES

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

MOBILE DENTAL NORTHWEST, LLC (NPI 1700148152) is a healthcare organization registered as a general practice in Tacoma, Washington and active in the NPI registry since June 2012. The organization lists Gregory Robert Fisher, Vice President- Finance, as its authorized official.

NPPES Registry Identity

NPI1700148152
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMOBILE DENTAL NORTHWEST, LLC
Location Address1622 S MILDRED ST, SUITE BTacoma, WA 98465-1610
Mailing Address1622 S Mildred St, Suite BTacoma, WA 98465-1610 · (253) 432-4795
Phone(253) 432-4795
Organization SubpartNo
Authorized OfficialGregory Robert FisherVice President- Finance · (253) 432-4795
Enumeration DateJune 12, 2012
✔ NPI 1700148152 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 · 4923
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.
1622 S MILDRED ST, Tacoma, WA 98465
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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

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

ALAN ARTHUR ANDERSON DPD,CDT
Denturist
1622 S MILDRED ST, SUITE A
TACOMA, WA 98465
Pierce County (253) 588-2721

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 Mobile Dental Northwest, LLC's NPI number?

The NPI number for Mobile Dental Northwest, LLC is 1700148152. It was assigned to this organization in the NPPES registry on June 12, 2012.

Where is Mobile Dental Northwest, LLC located?

Mobile Dental Northwest, LLC is located at 1622 S Mildred St Suite B, Tacoma, WA 98465. The listed phone number is (253) 432-4795.

What is Mobile Dental Northwest, LLC'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 Mobile Dental Northwest, LLC was last updated on June 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.