OrganizationActive
Eleven Eleven Dental
NPI 1073763041 · Dental Clinic/Center · Port Angeles, WA
Provider details
- NPI number
- 1073763041
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Gregory Birch, President/Owner(360) 457-3183
- License
- 602789281 (WA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1111 Columbia St
Port Angeles, WA 98362-4207
Phone: (360) 457-3183
Street-level locationGet directions
Mailing address
1111 Columbia St
Port Angeles, WA 98362-4207
Registry dates
- Enumerated
- 2008-09-25
- Last updated
- 2008-09-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.