| Clearwater Dental | |
|
5000 W Clearwater Ave Kennewick WA 99336-1964 | |
| (509) 783-5000 | |
| Not Available |
| Full Name | Clearwater Dental |
|---|---|
| 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 |
|---|---|
| Clearwater Dental 5000 W Clearwater Ave Kennewick WA 99336-1964 Ph: (509) 783-5000 | Clearwater Dental 5000 W Clearwater Ave Kennewick WA 99336-1964 Ph: (509) 783-5000 |
| NPI Number | 1013153469 |
|---|---|
| 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 |
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