Provider Demographics
NPI:1265492466
Name:ROYAL, DENNIS B (DC)
Entity Type:Individual
Prefix:
First Name:DENNIS
Middle Name:B
Last Name:ROYAL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2716 PACIFIC AVE SE
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98501-8804
Mailing Address - Country:US
Mailing Address - Phone:360-943-8250
Mailing Address - Fax:360-943-0473
Practice Address - Street 1:2716 PACIFIC AVE SE
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98501-8804
Practice Address - Country:US
Practice Address - Phone:360-943-8250
Practice Address - Fax:360-943-0473
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00001277111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAR50135OtherREGENCE RIDER
WA22563OtherL&I
WA0144988OtherL&I GROUP