OrganizationActive
South Sound Dentures, P.s.
NPI 1487974341 · Dentist · Olympia, WA
Provider details
- NPI number
- 1487974341
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Heidi Ellis, Owner(360) 709-9909
- License
- DE10844 (WA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
1822 Black Lake Blvd. Sw Suite 101
Olympia, WA 98512
Phone: (360) 709-9909
Street-level locationGet directions
Mailing address
1822 Black Lake Blvd Sw Ste 101
Olympia, WA 98512-5628
Registry dates
- Enumerated
- 2010-06-02
- Last updated
- 2010-06-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.