Provider Demographics
NPI:1497877476
Name:GEOFFREY R STRANGE DDS PS
Entity Type:Organization
Organization Name:GEOFFREY R STRANGE DDS PS
Other - Org Name:NEWCASTLE DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GEOFFREY
Authorized Official - Middle Name:R
Authorized Official - Last Name:STRANGE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:425-644-1770
Mailing Address - Street 1:12835 NEWCASTLE WAY SUITE 304
Mailing Address - Street 2:
Mailing Address - City:NEWCASTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98056-1316
Mailing Address - Country:US
Mailing Address - Phone:425-644-1770
Mailing Address - Fax:425-644-1912
Practice Address - Street 1:12835 NEWCASTLE WAY SUITE 304
Practice Address - Street 2:
Practice Address - City:NEWCASTLE
Practice Address - State:WA
Practice Address - Zip Code:98056-1316
Practice Address - Country:US
Practice Address - Phone:425-644-1770
Practice Address - Fax:425-644-1912
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE000056251223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty