# LIVER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Eleven Eleven Dental, Livermont Hoskins Woodland Ames Boyack Despain PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619802758
- **Authorized official:** ETHAN LIVERMONT DDS (OWNER/PARTNER)
- **Authorized official phone:** (360) 565-5066

## Contact information

- **Practice address:** 1111 COLUMBIA ST, PORT ANGELES, WA 98362-4207
- **Practice address phone:** (360) 565-5066
- **Mailing address:** 150 W SEQUIM BAY RD, SEQUIM, WA 98382-8406
- **Mailing address phone:** (360) 565-5066

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 06/17/2026
- **Last updated:** 09/18/2026