Duane W. Pegg
Dentist - General Practice
509 So. Montesano Street
Westport
, Washington 98595-2672
Duane W. Pegg
Dentist - General Practice
509 So. Montesano Street
Westport
, Washington 98595-2672
(360) 268-6095
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About
Features
Specialties
- General Practice
Languages spoken
- English
Location
First Address
- Duane W. Pegg
- Po Box 2672
- Westport, WA
- Zip : 98595-2672
- Fax : (360) 268-6095
- Phone : (360) 268-6225
Second Address
- Duane W. Pegg
- 509 So. Montesano Street
- Westport, WA
- Zip : 98595-2672
- Fax : (360) 268-6095
- Phone : (360) 268-6225
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223G0001X | General Practice | DE00008350 | WA |
| Y | 213EG0000X | General Practice | DE00008350 | WA |
National Provider Identifier
| NPI | 1003838269 |
|---|---|
| Provider Name | Duane W. Pegg |
| First Address | Westport, WA 98595-2672 |
| Second Address | Westport, WA 98595-2672 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/07/2006 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 145903 | DEPT. OF L & I (01) | WA |
| 5047329 | (05) | WA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.