# JD TROY DDS PLLC

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

## Provider details

- **NPI number:** 1750825394
- **Authorized official:** DR. JD TROY DDS (MEMBER)
- **Authorized official phone:** (360) 423-5240

## Contact information

- **Practice address:** 1118 OCEAN BEACH HWY, LONGVIEW, WA 98632-4638
- **Practice address phone:** (360) 423-5240
- **Practice address fax:** (360) 501-5391
- **Mailing address:** 1118 OCEAN BEACH HWY, LONGVIEW, WA 98632-4638
- **Mailing address phone:** (360) 423-5240
- **Mailing address fax:** (360) 501-5391

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | DE00008468 | WA | Yes |

## Other

- **Enumeration date:** 12/16/2016
- **Last updated:** 12/16/2016