Fall City Dental Clinic Inc in Fall City - Dentist

Fall City Dental Clinic Inc - NPI 1841202009

Fall City Dental Clinic Inc is a Dentist in Fall City, Washington. Fall City Dental Clinic Inc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Fall City Dental Clinic Inc is 1841202009. The last update date is 2020-08-22.

Fall City Dental Clinic Inc's current location address is Po Box 1029, Fall City, Washington. You can contact this provider via phone number 4252227011 and fax number 4252229574. The mailing address for Fall City Dental Clinic Inc is Po Box 1029, Fall City, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Organization Fall City Dental Clinic Inc
Address Po Box 1029, Fall City, Washington
Phone Number 4252227011
Fax Number 4252229574
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DENTIST OW
Authorized Official Name Fawcett M Greg
Credentials DDS
Telephone Number 4252227011

NPI Number Detail

NPI Number 1841202009
Provider Enumeration Date 2006-08-13
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address Po Box 1029
City Fall City
State Washington (WA)
Post Code 98024
Phone Number 4252227011
Fax Number 4252229574

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No DE00005563
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
FA1504 WA REGENCE INS
215712215712 WA PREMERA BLUE CROSS
674169 WA UNITED CONCORDIA INC

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FAQs about Fall City Dental Clinic Inc

What is the unique 10-digit identifier code assigned to Fall City Dental Clinic Inc by the Centers for Medicare & Medicaid Services?

The Fall City Dental Clinic Inc has been issued the NPI (National Provider Identifier) 1841202009 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Can you provide the Fall City Dental Clinic Inc's physical address?

The Fall City Dental Clinic Inc is physically located at Po Box 1029, in the city of Fall City, WA, with the postal code 98024.

What is the Fall City Dental Clinic Inc's specialty and taxonomy code?

The Fall City Dental Clinic Inc's specialty is Dentist, and the corresponding taxonomy code is 122300000X.

When was the Fall City Dental Clinic Inc's 1841202009 issued?

The Fall City Dental Clinic Inc's 1841202009 was issued on 2006-08-13.

When was the information pertaining to Fall City Dental Clinic Inc most recently updated or revised?

The details related to Fall City Dental Clinic Inc, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.

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