# COLBY J COCKRELL DMD PLLC

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

## Provider details

- **NPI number:** 1982918983
- **Authorized official:** DR. COLBY J COCKRELL DMD (OWNER)
- **Authorized official phone:** (360) 943-6331

## Contact information

- **Practice address:** 504 UNION AVE SE, OLYMPIA, WA 98501-1429
- **Practice address phone:** (360) 943-6331
- **Practice address fax:** (360) 943-2293
- **Mailing address:** PO BOX 2525, OLYMPIA, WA 98507-2525
- **Mailing address phone:** (360) 943-6331
- **Mailing address fax:** (360) 943-2293

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | DE60023798 | WA | Yes |

## Other

- **Enumeration date:** 08/02/2010
- **Last updated:** 08/02/2010