Provider Demographics
NPI:1558782052
Name:RHONDA SAVAGE, DDS, PLLC
Entity Type:Organization
Organization Name:RHONDA SAVAGE, DDS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:SAVAGE
Authorized Official - Last Name:SAVAGE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:877-343-0909
Mailing Address - Street 1:3519 56TH ST NW STE 260
Mailing Address - Street 2:
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98335-8593
Mailing Address - Country:US
Mailing Address - Phone:877-343-0909
Mailing Address - Fax:253-857-0834
Practice Address - Street 1:3519 56TH ST NW STE 260
Practice Address - Street 2:
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98335-8593
Practice Address - Country:US
Practice Address - Phone:877-343-0909
Practice Address - Fax:253-857-0834
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-31
Last Update Date:2013-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA6358122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty