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Daniel J Thacker, DDS,PS
General Practice Dentistry in Kingston, Washington
NPI 1447478474

Daniel J Thacker is a General Practice Dentistry based in Kingston, WA and is specialized in General Practice. Daniel J Thacker practices in Kingston, WA and has the professional credentials of DDS,PS. The NPI Number for Daniel J Thacker is 1447478474 and holds a License No. DE00005967 (Washington).

The current practice location address for Daniel J Thacker is 26114 Illinois Avenue, Kingston, WA and can be reached out via phone at 360-297-3392 and via fax at 360-297-4331.

Location: 26114 Illinois Avenue, Kingston, WA, 98346-0149
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447478474
Provider Name
Daniel J Thacker
Credential
DDS,PS
Provider Entity Type
Individual
Gender
Male
Address
26114 Illinois Avenue, Kingston, WA, 98346-0149
Phone Number
360-297-3392
Fax Number
360-297-4331
Provider Enumeration Date
04/23/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
26114 Illinois Avenue
City
Kingston
State
Washington
Zip
98346-0149
Phone Number
360-297-3392
Fax Number
360-297-4331
person
Provider Business Mailing Address Details
Address
26114 Illinois Avenue
City
Kingston
State
Washington
Zip
98346-0149
Phone Number
360-297-3392
Fax Number
360-297-4331
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DE00005967 (Washington)
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.
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