OAK HARBOR PEDIATRIC DENTISTRY NPI 1134656226

NPI Information

OAK HARBOR PEDIATRIC DENTISTRY is a pediatric dentistry dentist in Oak Harbor, WA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. OAK HARBOR PEDIATRIC DENTISTRY NPI is 1134656226. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

31775 STATE ROUTE 20 STE A1
OAK HARBOR, WA
ZIP 98277-104
Phone: (360) 675-7573

The provider's authorized official is Matthew Yeh .
The authorized official title is President and has the following contact phone number (360) 441-3999.

The CLIA number assigned to this NPI record is 50D2227275 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/19/2017 and was last updated on 5/19/2017.

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:

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