IndividualActive
Donald Niemann, DDS
NPI 1417063280 · Periodontics · Olympia, WA
Provider details
- NPI number
- 1417063280
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 4384 (WA)
Specialties & taxonomies
Dental Providers
Practice location
408 Lilly Rd Ne Ste B
Olympia, WA 98506-6954
Phone: (360) 459-5900
Fax: (360) 459-8720
Approximate (ZIP-level) locationGet directions
Mailing address
408 Lilly Rd Ne Ste B
Olympia, WA 98506-6954
Registry dates
- Enumerated
- 2006-08-22
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.