# DUFFIN DENTAL CORP, 111 DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** 111 Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659230076
- **Authorized official:** DR. JAMES LEE DUFFIN DDS (PRESIDENT DUFFIN DENTAL CORP)
- **Authorized official phone:** (253) 677-9012

## Contact information

- **Practice address:** 111 LEBER ST. NE, ORTING, WA 98360
- **Practice address phone:** (360) 893-9214
- **Practice address fax:** (360) 893-9216
- **Mailing address:** PO BOX 69, ORTING, WA 98360-0069
- **Mailing address phone:** (360) 893-9214
- **Mailing address fax:** (360) 893-9216

## Taxonomy

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

## Other

- **Enumeration date:** 01/21/2026
- **Last updated:** 01/21/2026