# SUMNER SMILES DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861948713
- **Authorized official:** DR. NIKOLINA P NIELSEN DMD (DENTIST)
- **Authorized official phone:** (253) 863-4400

## Contact information

- **Practice address:** 1211 MAIN ST, SUMNER, WA 98390-1416
- **Practice address phone:** (253) 863-4400
- **Practice address fax:** (253) 863-2336
- **Mailing address:** 1211 MAIN ST, SUMNER, WA 98390-1416
- **Mailing address phone:** (253) 863-4400
- **Mailing address fax:** (253) 863-2336

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DE60146593 | WA | Yes |

## Other

- **Enumeration date:** 08/31/2016
- **Last updated:** 08/31/2016