# DR. DAVID K PACKARD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1740377670
- **Gender:** Man
- **Credential:** DMD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 7692 | WA | Yes |

## Other

- **Enumeration date:** 10/10/2006
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 112287 | LABOR & INDUSTRIES | WA |
| 01 | — | 481926 | UNITED CONCORDIA | WA |
| 05 | — | 5023478 | — | WA |
| 01 | — | 7692 | STATE LICENSE | WA |
| 01 | — | 8923148 | CRIME VICTIMS | WA |
| 01 | — | 92560941 | TPIN | WA |
