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SQUAXIN ISLAND DENTAL CLINIC ENCOUNTER NPI 1003021338

NPI Profile

NPI: 1003021338

Provider Name: SQUAXIN ISLAND DENTAL CLINIC ENCOUNTER

Other Name: SQUAXIN ISLAND TRIBE

Classification: Clinic/Center - 261QD0000X

Entity Type: Organization

Specialization: Dental

Address:
90 SE KLAH CHE MIN DR
SHELTON, WA
ZIP 98584

Phone: (360) 427-9006

SQUAXIN ISLAND DENTAL CLINIC ENCOUNTER is a dental clinic/center in Shelton, WA. SQUAXIN ISLAND DENTAL CLINIC ENCOUNTER NPI is 1003021338. The provider is registered as an organization entity type.
The provider Other Name Is Squaxin Island Tribe.

The provider's business location address is:

90 SE KLAH CHE MIN DR
SHELTON, WA
ZIP 98584-216
Phone: (360) 427-9006

The provider's authorized official is Whitney Jones .
The authorized official title is Director and has the following contact phone number (360) 427-9006.

The enumeration date for this NPI number is 5/11/2007 and was last updated on 7/9/2007.

Map - Location of Practice

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 261QD0000X Clinic/Center Dental WASHINGTON Yes

What is NPI?
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 7/13/2015