# MT SI DENTAL CENTER

> 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:** 1932279304
- **Authorized official:** DR. KRIS W BRAIN D.D.S (DENTIST)
- **Authorized official phone:** (425) 888-6522

## Contact information

- **Practice address:** 208 MAIN AVE S, NORTH BEND, WA 98045-8258
- **Practice address phone:** (425) 888-6522
- **Mailing address:** PO BOX 1099, NORTH BEND, WA 98045-1099
- **Mailing address phone:** (425) 888-6522
- **Mailing address fax:** (425) 888-6526

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 7403 | WA | Yes |

## Other

- **Enumeration date:** 11/09/2006
- **Last updated:** 06/19/2008