=====================================================
General NPI Number Information
=====================================================
NPI Number | 1912780917
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | JR ALMOND & BM ALMOND PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/15/2023
-----------------------------------------------------
Last Update Date | 08/15/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8305 W QUINAULT AVE
-----------------------------------------------------
City | KENNEWICK
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 99336-1138
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 509-628-0110
-----------------------------------------------------
Fax | 509-628-8590
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8305 W QUINAULT AVE
-----------------------------------------------------
City | KENNEWICK
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 99336-1138
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 509-628-0110
-----------------------------------------------------
Fax | 509-628-8590
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DOCTOR, OWNER
-----------------------------------------------------
Name | DR. BRIAN ALMOND
-----------------------------------------------------
Credential | DDS, MSD
-----------------------------------------------------
Telephone | 509-628-0110
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1223X0400X
-----------------------------------------------------
Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------