| Fircrest Children's Dentistry | |
|
1501 Regents Blvd Ste 200 Fircrest WA 98466-6098 | |
| (253) 564-2222 | |
| Not Available |
| Full Name | Fircrest Children's Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1501 Regents Blvd Ste 200, Fircrest, Washington |
| Authorized Official Name and Position | Stephen D Beck (PEDIATRIC DENTIST) |
| Authorized Official Contact | 2535642222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fircrest Children's Dentistry 1501 Regents Blvd Ste 200 Fircrest WA 98466-6098 Ph: (253) 564-2222 | Fircrest Children's Dentistry 1501 Regents Blvd Ste 200 Fircrest WA 98466-6098 Ph: (253) 564-2222 |
| NPI Number | 1245650365 |
|---|---|
| Provider Enumeration Date | 04/16/2014 |
| Last Update Date | 04/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245650365 | NPI | - | NPPES |
| 12-23-P0221 | Other | WA | TAXONOMY, PEDIATRIC DENTISTRY |
| 1033368006 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DE60140820 (Washington) | Primary |
James P. Gagliardi, Dds, Ps Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1033 Regents Blvd, Suite 201, Fircrest, WA 98466 Phone: 253-564-2570 Fax: 253-564-2652 | |
Fircrest Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4040 Orchard St W Ste 200, Fircrest, WA 98466 Phone: 253-292-0596 | |
Emerson Dental Inc Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1339 Alameda Ave, Fircrest, WA 98466 Phone: 253-565-2895 Fax: 253-565-2702 |