| Dental Care Of Edmonds | |
|
23805 Highway 99 Ste 100 Edmonds WA 98026-9204 | |
| (425) 778-6333 | |
| Not Available |
| Full Name | Dental Care Of Edmonds |
|---|---|
| Speciality | Dentist |
| Location | 23805 Highway 99 Ste 100, Edmonds, Washington |
| Authorized Official Name and Position | Tabatha Lemke (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175406078 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Care Of Edmonds 23805 Highway 99 Ste 100 Edmonds WA 98026-9204 Ph: () - | Dental Care Of Edmonds 23805 Highway 99 Ste 100 Edmonds WA 98026-9204 Ph: (425) 778-6333 |
| NPI Number | 1760033807 |
|---|---|
| Provider Enumeration Date | 09/20/2019 |
| Last Update Date | 11/20/2020 |
| Medicare PECOS PAC ID | 8325479165 |
|---|---|
| Medicare Enrollment ID | O20210712001622 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760033807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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