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Active NPI 1083400154 Organization (Entity Type 2)

Scott C Decker, Dmd, Pllc

Clinic/Center - Dental • Enumclaw, WA

About Scott C Decker, Dmd, Pllc NPI 1083400154 Summary

Scott C Decker, Dmd, Pllc is a verified healthcare organization specializing in Clinic/Center - Dental operating in Enumclaw, WA. Located at 1120 COLE ST, this facility provides patient care and medical services under National Provider Identifier (NPI) 1083400154.

Administrative operations and authorized compliance are overseen by Scott Decker (Owner/Dentist).

The facility is associated with 1 linked healthcare practitioner providing clinical services.

Facility Location & Contact Primary Location

Facility Address

1120 Cole St

Enumclaw, WA 980222637

Telephone 3608253191
Fax 3608024785

Authorized Official Information

Authorized Contact Name

Scott Decker , DMD

Title / Role

Owner/dentist

Official Telephone

3608253191

Facility Classifications & Specialties

Clinic/Center - Dental Primary Taxonomy

NUCC Taxonomy Code: 261QD0000X

Definition to come...

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

1 Linked

Dentist - General Practice

Enumclaw, WA

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active April 23, 2025

NPI status registered as active in NPPES database

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Updated Practice Location April 23, 2025

Registered at 1120 COLE ST, ENUMCLAW, WA 980222637 (Tel: 3608253191)

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Updated Business Mailing Address April 23, 2025

Registered at 1120 COLE ST, ENUMCLAW, WA 980222637 (Tel: 3608253191)

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Organization / Clinic Name Updated April 23, 2025

Operating as SCOTT C DECKER, DMD, PLLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 23, 2025

Clinic/Center

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Initial NPI Registration & Enumeration April 16, 2025

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1083400154
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: April 16, 2025
Last Update: April 23, 2025

Mailing Address

1120 Cole St

Enumclaw, WA 980222637

Phone: 3608253191

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.