1336346402 NPI number — YODER, GRIESER & SULLIVAN, DDS, LLP

Table of content: (NPI 1336346402)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1336346402 NPI number — YODER, GRIESER & SULLIVAN, DDS, LLP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
YODER, GRIESER & SULLIVAN, DDS, LLP
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1336346402
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1880 POTTERY AVE STE 200
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PORT ORCHARD
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98366-2518
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
360-895-4321
Provider Business Mailing Address Fax Number:
360-895-4326

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1880 POTTERY AVE STE 200
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PORT ORCHARD
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98366-2518
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
360-895-4321
Provider Business Practice Location Address Fax Number:
360-895-4326
Provider Enumeration Date:
07/01/2007

Additional Information

Authorized Official

Authorized Official Last Name:
YODER
Authorized Official First Name:
BRUCE
Authorized Official Middle Name:
L
Authorized Official Title or Position:
PARTNER
Authorized Official Telephone Number:
360-895-4321

Provider Taxonomy Codes

  • Taxonomy code: 122300000X , with the licence number:  5975 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 5025796 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".




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