# YANCY T. SIPES DDS PS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023204187
- **Authorized official:** DR. YANCY THEODORE SIPES DDS (OWNER/DENTIST)
- **Authorized official phone:** (360) 886-1300

## Contact information

- **Practice address:** 31527 3RD AVE, BLACK DIAMOND, WA 98010-9731
- **Practice address phone:** (360) 886-1300
- **Practice address fax:** (360) 886-9848
- **Mailing address:** 31527 3RD AVE, BLACK DIAMOND, WA 98010-9731
- **Mailing address phone:** (360) 886-1300
- **Mailing address fax:** (360) 886-9848

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | DE0009945 | WA | Yes |

## Other

- **Enumeration date:** 09/21/2007
- **Last updated:** 09/21/2007