# DR ALLAN HABLUTZEL

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Pacific Avenue Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023123726
- **Authorized official:** DR. ALLAN LEE HABLUTZEL DDS (DENTIST OWNER)
- **Authorized official phone:** (360) 373-3515

## Contact information

- **Practice address:** 820 PACIFIC AVE, STE 204, BREMERTON, WA 98337
- **Practice address phone:** (360) 373-3515
- **Practice address fax:** (360) 373-2176
- **Mailing address:** 820 PACIFIC AVE, STE 204, BREMERTON, WA 98337
- **Mailing address phone:** (360) 373-3515
- **Mailing address fax:** (360) 373-2176

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 5706 | WA | Yes |

## Other

- **Enumeration date:** 08/20/2006
- **Last updated:** 05/08/2012
