# ALBERT R. BIRD DDS PS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bird Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902134307
- **Authorized official:** MRS. ADRIANNE B. BIRD (ADMINISTRATIVE ASSISTANT)
- **Authorized official phone:** (253) 475-8934

## Contact information

- **Practice address:** 4707 S JUNETT ST, SUITE A, TACOMA, WA 98409-6480
- **Practice address phone:** (253) 475-8934
- **Practice address fax:** (253) 472-0402
- **Mailing address:** 4707 S JUNETT ST, SUITE A, TACOMA, WA 98409-6480
- **Mailing address phone:** (253) 475-8934
- **Mailing address fax:** (253) 472-0402

## Taxonomy

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

## Other

- **Enumeration date:** 11/23/2009
- **Last updated:** 11/23/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 5399902 | — | WA |