Provider Demographics
NPI:1336347780
Name:ALMOND, BRIAN MARK (DDS, MSD)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:MARK
Last Name:ALMOND
Suffix:
Gender:M
Credentials:DDS, MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5616 TAFT DR
Mailing Address - Street 2:
Mailing Address - City:PASCO
Mailing Address - State:WA
Mailing Address - Zip Code:99301-8410
Mailing Address - Country:US
Mailing Address - Phone:509-628-0110
Mailing Address - Fax:
Practice Address - Street 1:5616 TAFT DR
Practice Address - Street 2:
Practice Address - City:PASCO
Practice Address - State:WA
Practice Address - Zip Code:99301-8410
Practice Address - Country:US
Practice Address - Phone:509-628-0110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE000105701223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics