Organization
JAY D. DEIGLMEIER DDS. PS
Active
Other names
Panther Lake Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JAY D DEIGLMEIER DDS (PRESIDENT)
(253) 854-1222
Entity
Organization
Contact information
Practice address
10920 SE 208TH ST, KENT, WA 98031-4009
(253) 854-1222
(253) 859-1269
Mailing address
10920 SE 208TH ST, KENT, WA 98031-4009
(253) 854-1222
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00007064
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103746
L & I
WA
05
—
5023221
—
WA
05
—
5025788
—
WA
01
—
57064
WDS
WA
01
—
DE7654
REGENCE
WA
Enumeration date
11/16/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us