Brett L. Pack, D.M.D.

Dentist · Moses Lake, WA

Individual Active NPI

NPI number 1861683112

Practice location

605 S Coolidge St
Moses Lake, WA 98837-1893
Phone
(509) 765-0674
Fax
(509) 766-8993

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NPI record

NPI
1861683112
Entity type
Individual (Type 1)
Enumeration date
August 1, 2007
Last updated
August 1, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X DE 00011081 WA

Mailing address

9039 Castlewood Dr SE
Moses Lake, WA 98837-8217
Phone
(509) 765-0870
Fax
(509) 765-0870

About Dr. Pack

Brett L. Pack, D.M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 605 S Coolidge St, Moses Lake, WA 98837-1893. The NPI number 1861683112 was assigned on August 1, 2007 and the record was last updated on August 1, 2007.

Dr. Pack lists a license in the registry: #DE 00011081 (WA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Brett L. Pack, D.M.D.?

The NPI number is 1861683112.

What is the phone number of Dr. Pack?

The phone number listed for the practice location is (509) 765-0674.

Where is Dr. Pack located?

605 S Coolidge St, Moses Lake, WA 98837-1893.

What is the taxonomy code for Dr. Pack?

The primary taxonomy code is 122300000X – Dentist.

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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