Provider Demographics
NPI:1265828305
Name:EKAPOJ THONGIN III, DMD, PLLC
Entity Type:Organization
Organization Name:EKAPOJ THONGIN III, DMD, PLLC
Other - Org Name:8 TO 8 DENTAL SMOKEY POINT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:EKAPOJ
Authorized Official - Middle Name:
Authorized Official - Last Name:THONGIN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:360-651-9828
Mailing Address - Street 1:17215 SMOKEY POINT DR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98223-8798
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:17215 SMOKEY POINT DR
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98223-8798
Practice Address - Country:US
Practice Address - Phone:360-651-9828
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-15
Last Update Date:2015-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE7158261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental