| |
5000 W Clearwater Ave Kennewick WA 99336-1964 | |
(509) 783-5000 | |
Not Available |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 5000 W Clearwater Ave, Kennewick, Washington |
Authorized Official Name and Position | Stephen Richard Matheson (CEO) |
Authorized Official Contact | 5097835000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5000 W Clearwater Ave Kennewick WA 99336-1964 Ph: (509) 783-5000 | 5000 W Clearwater Ave Kennewick WA 99336-1964 Ph: (509) 783-5000 |
NPI Number | 1013153469 |
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Provider Enumeration Date | 01/06/2009 |
Last Update Date | 07/11/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013153469 | NPI | - | NPPES |
1215241567 | Other | WA | DR THOMAS NPI |
DE00008483 | Other | WA | STATE DENTAL LICENSE-HAN |
DE60173351 | Other | WA | DR THOMAS |
0021156 | Other | WA | L & I |
1891867875 | Other | WA | NPI DR HAN |
DE00004645 | Other | WA | STATE DENTAL LICENSE-MATHESON |
5510003 | Medicaid | WA | |
DE60478319 | Other | WA | DR ROSE |
1104231497 | Other | WA | DR ROSE NPI |
1538238779 | Other | WA | NPI DR MATHESON |
Tri-cities Community Health Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3180 W Clearwater Ave, Suite A, Kennewick, WA 99336 Phone: 509-547-2204 | |
Dr Mileski Dds Iii Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6607 W Canal Dr Ste B, Kennewick, WA 99336 Phone: 509-783-7070 | |