# JEANINE E NORDEEN DDS, PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1922836832
- **Authorized official:** DR. JEANINE E NORDEEN DDS (OWNER)
- **Authorized official phone:** (707) 670-0054

## Contact information

- **Practice address:** 8765 TALLON LN NE STE I, LACEY, WA 98516-6654
- **Practice address phone:** (360) 878-2931
- **Mailing address:** 730 SUTTER LN SE UNIT 102, LACEY, WA 98503-1464
- **Mailing address phone:** (707) 670-0054

## Taxonomy

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

## Other

- **Enumeration date:** 07/23/2024
- **Last updated:** 07/23/2024