| David Gage Dmd Pllc | |
|
205 W Fairhaven Ave Ste B Burlington WA 98233-1062 | |
| (360) 757-0651 | |
| (360) 757-3741 |
| Full Name | David Gage Dmd Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 205 W Fairhaven Ave Ste B, Burlington, Washington |
| Authorized Official Name and Position | David Alexander Gage (DENTIST) |
| Authorized Official Contact | 3607570651 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David Gage Dmd Pllc 205 W Fairhaven Ave Ste B Burlington WA 98233-1062 Ph: (360) 757-0651 | David Gage Dmd Pllc 205 W Fairhaven Ave Ste B Burlington WA 98233-1062 Ph: (360) 757-0651 |
| NPI Number | 1255832663 |
|---|---|
| Provider Enumeration Date | 02/22/2018 |
| Last Update Date | 06/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255832663 | NPI | - | NPPES |
| 1952719957 | Medicaid | WA | |
| 1952719957 | Other | WA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DE60472401 (Washington) | Primary |
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