QUILEUTE TRIBAL COUNCIL NPI 1518425511

NPI Information

  • NPI: 1518425511
  • Provider Name: QUILEUTE TRIBAL COUNCIL
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Doing Business As: QUILEUTE DENTAL CLINIC
  • Address: 560 QUILEUTE HEIGHTS LOOP
    LA PUSH, WA
    ZIP 98350
  • Phone: (360) 374-3358

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NPI Details

QUILEUTE TRIBAL COUNCIL is a general practice dentist in La Push, WA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. QUILEUTE TRIBAL COUNCIL NPI is 1518425511. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Quileute Dental Clinic.

The provider's business location address is:

560 QUILEUTE HEIGHTS LOOP
LA PUSH, WA
ZIP 98350
Phone: (360) 374-3358

The provider's authorized official is Gary Bryan Goodwin .
The authorized official title is Billing Agency and has the following contact phone number (360) 867-0709.

The enumeration date for this NPI number is 3/8/2019 and was last updated on 3/11/2019.

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
11223G0001XDentistGeneral PracticeYes
2261QD0000XClinic/CenterDentalNo

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: 3/30/2025

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