| Costa & Dageenakis Family Dentistry Pllc | |
|
1565 Woodridge Dr Se Ste A Port Orchard WA 98366 | |
| (360) 876-0550 | |
| (360) 876-0861 |
| Full Name | Costa & Dageenakis Family Dentistry Pllc |
|---|---|
| Speciality | Dentist |
| Location | 1565 Woodridge Dr Se, Port Orchard, Washington |
| Authorized Official Name and Position | Michelle D Richardson (TREATMENT COORDINATOR) |
| Authorized Official Contact | 3608760550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Costa & Dageenakis Family Dentistry Pllc 1565 Woodridge Dr Se Ste A Port Orchard WA 98366 Ph: (360) 876-0550 | Costa & Dageenakis Family Dentistry Pllc 1565 Woodridge Dr Se Ste A Port Orchard WA 98366 Ph: (360) 876-0550 |
| NPI Number | 1376647743 |
|---|---|
| Provider Enumeration Date | 09/07/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376647743 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 7181 (Washington) | Secondary |
| 122300000X | Dentist | 9302 (Washington) | Primary |
| 122300000X | Dentist | DE00009872 (Washington) | Secondary |
Yeh Dds Msd & Leu Dds Ps Inc Dental Clinic Medicare: Medicare Enrolled Practice Location: 700 Prospect St Ste 100, Port Orchard, WA 98366 Phone: 360-876-3171 | |
J Eric Janaszak Dmd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10407 Se Olympiad Dr., Port Orchard, WA 98366 Phone: 206-715-9391 | |
South Kitsap Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1953 Pottery Ave, Port Orchard, WA 98366 Phone: 360-876-6211 Fax: 360-876-7952 | |
Steven C. Chobot, Dds, Ps Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1590 Woodridge Dr Se, Port Orchard, WA 98366 Phone: 360-871-5100 Fax: 360-871-5104 | |
Justin L. Robison Dmd P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1590 Woodridge Dr Se, Port Orchard, WA 98366 Phone: 360-871-5100 | |
Chris Mueller Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1420 Bay St, Port Orchard, WA 98366 Phone: 360-895-1401 Fax: 360-895-1296 | |
Cameron Warner Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3590 Sw Bellevue Way, Port Orchard, WA 98367 Phone: 360-524-2732 |