OrganizationActive
Eleven Eleven Dental
NPI 1073763041 · Dental Clinic/Center · Port Angeles, WA
Eleven Eleven Dental is a Dental Clinic/Center organization in Port Angeles, WA (NPI 1073763041).
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(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
Frequently asked questions
- What is Eleven Eleven Dental's NPI number?
- Eleven Eleven Dental's National Provider Identifier (NPI) is 1073763041, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Eleven Eleven Dental?
- Eleven Eleven Dental is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Eleven Eleven Dental located?
- Eleven Eleven Dental's practice location on file with NPPES is 1111 Columbia St, Port Angeles, WA 98362-4207.
- What is Eleven Eleven Dental's phone number?
- The practice phone number listed in the NPPES registry for Eleven Eleven Dental is (360) 457-3183.
- Who is the authorized official for Eleven Eleven Dental?
- The authorized official listed on Eleven Eleven Dental's NPPES record is Gregory Birch, President/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Eleven Eleven Dental's NPI active?
- Yes — Eleven Eleven Dental's NPI (1073763041) is active in the NPPES registry as of the last update on 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.