Port Gamble S'Klallam Dental Clinic in Kingston - Dental
Port Gamble S'Klallam Dental Clinic - NPI 1669531067
Port Gamble S'Klallam Dental Clinic is a Dental in Kingston, Washington. Port Gamble S'Klallam Dental Clinic practices all healthcare services and medical treatments related to Dental. The NPI Number for Port Gamble S'Klallam Dental Clinic is 1669531067. The last update date is 2020-08-22.
Port Gamble S'Klallam Dental Clinic's current location address is 32014 Little Boston Rd Ne, Kingston, Washington. You can contact this provider via phone number 3602979601 and fax number 3602979614. The mailing address for Port Gamble S'Klallam Dental Clinic is 32014 Little Boston Rd Ne, Kingston, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Port Gamble S'Klallam Dental Clinic |
|---|---|
| Address | 32014 Little Boston Rd Ne, Kingston, Washington |
| Phone Number | 3602979601 |
| Fax Number | 3602979614 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | HEALTH CEN |
|---|---|
| Authorized Official Name | Powell Margareta Kerstin |
| Telephone Number | 3602979601 |
NPI Number Detail
| NPI Number | 1669531067 |
|---|---|
| Provider Enumeration Date | 2006-12-08 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 32014 Little Boston Rd Ne |
|---|---|
| City | Kingston |
| State | Washington (WA) |
| Post Code | 983469734 |
| Phone Number | 3602979601 |
| Fax Number | 3602979614 |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
|
Definition: Provides general and specialized dental care and oral surgery. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5031810 | WA | -- | |
| 5031794 | WA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Port Gamble S'Klallam Dental Clinic?
The Port Gamble S'Klallam Dental Clinic has been issued the NPI (National Provider Identifier) 1669531067 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 Port Gamble S'Klallam Dental Clinic is physically located?
The Port Gamble S'Klallam Dental Clinic is physically situated at the following address: 32014 Little Boston Rd Ne, Kingston, WA, 983469734.
What is the area of specialization for Port Gamble S'Klallam Dental Clinic, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Port Gamble S'Klallam Dental Clinic is Dental, and the corresponding taxonomy code that categorizes this area of expertise is 261Qd0000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1669531067 to Port Gamble S'Klallam Dental Clinic?
The Port Gamble S'Klallam Dental Clinic received its 1669531067 assignment from the Centers for Medicare & Medicaid Services on 2006-12-08.
When was the information pertaining to Port Gamble S'Klallam Dental Clinic most recently updated or revised?
The details related to Port Gamble S'Klallam Dental Clinic, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.
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