Provider Demographics
NPI:1114803301
Name:SOUNDVIEW DENTURE CLINIC P.S.
Entity type:Organization
Organization Name:SOUNDVIEW DENTURE CLINIC P.S.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DEXTER
Authorized Official - Middle Name:G
Authorized Official - Last Name:GRUVER
Authorized Official - Suffix:
Authorized Official - Credentials:DENTURIST
Authorized Official - Phone:208-403-9694
Mailing Address - Street 1:5800 SOUNDVIEW DR STE A102
Mailing Address - Street 2:
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98335-2057
Mailing Address - Country:US
Mailing Address - Phone:253-858-1598
Mailing Address - Fax:253-858-1036
Practice Address - Street 1:5800 SOUNDVIEW DR STE A102
Practice Address - Street 2:
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98335-2057
Practice Address - Country:US
Practice Address - Phone:253-858-1598
Practice Address - Fax:253-858-1036
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-13
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental