The Dental Village Of Shelton in Shelton - General Practice
The Dental Village Of Shelton - NPI 1922090869
The Dental Village Of Shelton is a General Practice in Shelton, Washington. The Dental Village Of Shelton practices all healthcare services and medical treatments related to General Practice. The NPI Number for The Dental Village Of Shelton is 1922090869. The last update date is 2020-08-22.
The Dental Village Of Shelton's current location address is 301 E Wallace Kneeland Blvd, Shelton, Washington. You can contact this provider via phone number 3604321978 and fax number 3604322377. The mailing address for The Dental Village Of Shelton is 301 E Wallace Kneeland Blvd, Shelton, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | The Dental Village Of Shelton |
|---|---|
| Address | 301 E Wallace Kneeland Blvd, Shelton, Washington |
| Phone Number | 3604321978 |
| Fax Number | 3604322377 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Daniels Olivia Shirley |
| Credentials | DDS |
| Telephone Number | 3604321978 |
NPI Number Detail
| NPI Number | 1922090869 |
|---|---|
| Provider Enumeration Date | 2005-08-17 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 301 E Wallace Kneeland Blvd |
|---|---|
| City | Shelton |
| State | Washington (WA) |
| Post Code | 985842985 |
| Phone Number | 3604321978 |
| Fax Number | 3604322377 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | DE7922 |
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Definition: 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. |
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What is the unique provider identifier assigned to The Dental Village Of Shelton?
The The Dental Village Of Shelton has been issued the NPI (National Provider Identifier) 1922090869 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where The Dental Village Of Shelton is physically located?
The The Dental Village Of Shelton is physically situated at the following address: 301 E Wallace Kneeland Blvd, Shelton, WA, 985842985.
What is The Dental Village Of Shelton's area of expertise and its corresponding taxonomy classification?
The The Dental Village Of Shelton's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1922090869 assigned to The Dental Village Of Shelton?
The The Dental Village Of Shelton was issued its 1922090869 on 2005-08-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to The Dental Village Of Shelton last refreshed?
The information related to the The Dental Village Of Shelton, including its address, specialty, and other relevant details, was last updated on 2020-08-22.