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SWINOMISH UPPER SKAGIT DENTAL NPI 1922203405


NPI Information

NPI: 1922203405
Provider Name: SWINOMISH UPPER SKAGIT DENTAL

Other Name: SWINOMISH TRIBAL COMMUNITY

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
17395 RESERVATION RD
LA CONNER, WA
ZIP 98257
Phone: (360) 466-3900
Get Directions

SWINOMISH UPPER SKAGIT DENTAL is a general practice dentist in La Conner, 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. SWINOMISH UPPER SKAGIT DENTAL NPI is 1922203405. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Swinomish Tribal Community.

The provider's business location address is:

17395 RESERVATION RD
LA CONNER, WA
ZIP 98257-802
Phone: (360) 466-3900
Fax: (360) 466-7301

The provider's authorized official is Raymond A Dailey .
The authorized official title is Dentist and has the following contact phone number (360) 466-3900.

The enumeration date for this NPI number is 6/15/2007 and was last updated on 8/20/2007.


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 Practice6498NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15039490MEDICAIDWASHINGTON

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: 5/5/2024

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