Daniel J. Thacker, D.D.S,P.S.

General Practice Dentistry · Kingston, WA

Individual Active NPI

NPI number 1447478474

Practice location

26114 Illinois Avenue
Suite a
Kingston, WA 98346-0149
Phone
(360) 297-3392
Fax
(360) 297-4331

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NPI record

NPI
1447478474
Entity type
Individual (Type 1)
Enumeration date
April 23, 2007
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DE00005967 WA

Mailing address

PO Box 149
26114 Illinois Ave
Kingston, WA 98346-0149
Phone
(360) 297-3392
Fax
(360) 297-4331

About Dr. Thacker

Daniel J. Thacker, D.D.S,P.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 26114 Illinois Avenue, Suite a, Kingston, WA 98346-0149. The NPI number 1447478474 was assigned on April 23, 2007 and the record was last updated on July 8, 2007.

Dr. Thacker lists a license in the registry: #DE00005967 (WA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Daniel J. Thacker, D.D.S,P.S.?

The NPI number is 1447478474.

What is the phone number of Dr. Thacker?

The phone number listed for the practice location is (360) 297-3392.

Where is Dr. Thacker located?

26114 Illinois Avenue, Suite a, Kingston, WA 98346-0149.

What is the taxonomy code for Dr. Thacker?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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