Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mobile Dental Northwest, LLC

Organization General Practice Dentistry · NPI 1700148152

Mobile Dental Northwest, LLC is a General Practice Dentistry in Tacoma, Washington. Licensed in Washington. Registered with an NPI since 2012.

Licensed in
WA
In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1622 S Mildred St Ste B
Tacoma, WA 98465-1610
Phone: (253) 432-4795
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 4923 (WA)

Record details

NPI number1700148152
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gregory Fisher — Vice President- Finance · (253) 432-4795
NPI enumeratedJune 12, 2012
Last updated in NPPESJune 12, 2012
Mailing address1622 S Mildred St, Suite B, Tacoma, WA 98465-1610

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