Provider Demographics
NPI:1245783471
Name:JOSEPH SZABO DDS PLLC
Entity Type:Organization
Organization Name:JOSEPH SZABO DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:SZABO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:360-805-8448
Mailing Address - Street 1:809 W MAIN ST STE A
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:WA
Mailing Address - Zip Code:98272-2172
Mailing Address - Country:US
Mailing Address - Phone:360-805-8448
Mailing Address - Fax:360-805-1099
Practice Address - Street 1:809 W MAIN ST STE A
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:WA
Practice Address - Zip Code:98272-2172
Practice Address - Country:US
Practice Address - Phone:360-805-8448
Practice Address - Fax:360-805-1099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-23
Last Update Date:2016-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE60318987261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental