Provider Demographics
NPI:1538414677
Name:EMILY PIPER DDS
Entity type:Organization
Organization Name:EMILY PIPER DDS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:PIPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-927-2291
Mailing Address - Street 1:3800 BYRON AVE
Mailing Address - Street 2:SUITE100
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98229-6506
Mailing Address - Country:US
Mailing Address - Phone:360-927-2291
Mailing Address - Fax:360-671-3868
Practice Address - Street 1:3800 BYRON AVE
Practice Address - Street 2:SUITE100
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98229-6506
Practice Address - Country:US
Practice Address - Phone:360-927-2291
Practice Address - Fax:360-671-3868
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-16
Last Update Date:2012-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE00010649122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty