Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

South Sound Family Dentistry, PLLC

Organization General Practice Dentistry · NPI 1164585634

South Sound Family Dentistry, PLLC provides General Practice Dentistry in Olympia, Washington. Licensed in Washington. Registered with an NPI since 2006.

Licensed in
WA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

703 Lilly Rd NE Ste 201
Olympia, WA 98506-5256 Not confirmed with CMS for 10 years — call before visiting
Phone: (360) 459-3400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 9986 (WA)
General Practice Dentistry Taxonomy 1223G0001X · Licence DE00009986 (WA)

Record details

NPI number1164585634
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Levi Green — President · (360) 459-3400
Other names South Sound Family Dentistry
NPI enumeratedDecember 18, 2006
Last updated in NPPESApril 19, 2016
Mailing address703 Lilly Rd Ne Ste 201, Olympia, WA 98506-5256

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