# J A MANCHESTER DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Tacoma Prosthodontics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528857208
- **Authorized official:** DR. JOSHUA MANCHESTER DDS, MSD (OWNER)
- **Authorized official phone:** (406) 599-4642

## Contact information

- **Practice address:** 2302 S UNION AVE STE B17, TACOMA, WA 98405-1333
- **Practice address phone:** (253) 752-6915
- **Practice address fax:** (253) 752-9003
- **Mailing address:** 2302 S UNION AVE STE B17, TACOMA, WA 98405-1333
- **Mailing address phone:** (253) 752-6915
- **Mailing address fax:** (253) 752-9003

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0700X | Prosthodontics | — | NULL | Yes |

## Other

- **Enumeration date:** 05/01/2025
- **Last updated:** 05/01/2025