Mr. Miguel Jacome JR.
Dental Assistant
N Division St Bldg 2103
Tacoma
, Washington 98431-0001
Mr. Miguel Jacome JR.
Dental Assistant
N Division St Bldg 2103
Tacoma
, Washington 98431-0001
(208) 818-6238
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About
Features
Specialties
- Dental Assistant
Languages spoken
- English
Location
First Address
- Mr. Miguel Jacome JR.
- 19710 13th Avenue Ct E
- Spanaway, WA
- Zip : 98387-8046
- Phone : (208) 818-6238
Second Address
- Mr. Miguel Jacome JR.
- N Division St Bldg 2103
- Tacoma, WA
- Zip : 98431-0001
- Phone : (253) 966-7814
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 126800000X | Dental Assistant |
National Provider Identifier
| NPI | 1134571755 |
|---|---|
| Provider Name | Mr. Miguel Jacome JR. |
| First Address | Spanaway, WA 98387-8046 |
| Second Address | Tacoma, WA 98431-0001 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/07/2016 |
| Last Update Date | 07/07/2016 |
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.