# GE DENT DDS PS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Proctor Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366888992
- **Authorized official:** MS. JENNIFER LEA BUSH (OFFICE MANAGER)
- **Authorized official phone:** (253) 759-6800

## Contact information

- **Practice address:** 2614 N. ADAMS ST., TACOMA, WA 98407-5826
- **Practice address phone:** (253) 759-6800
- **Practice address fax:** (253) 759-0894
- **Mailing address:** P.O. BOX 7065, TACOMA, WA 98417-0065
- **Mailing address phone:** (253) 759-6800
- **Mailing address fax:** (253) 759-0894

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 05/22/2013
- **Last updated:** 10/18/2023