| Gillespie Dentistry Llc | |
|
13200 Se Mcgillivray Blvd Vancouver WA 98683-7040 | |
| (360) 892-6132 | |
| Not Available |
| Full Name | Gillespie Dentistry Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 13200 Se Mcgillivray Blvd, Vancouver, Washington |
| Authorized Official Name and Position | Stephen Bradley Gillespie (PRESIDENT) |
| Authorized Official Contact | 3608926132 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gillespie Dentistry Llc 13200 Se Mcgillivray Blvd Vancouver WA 98683-7040 Ph: (360) 892-6132 | Gillespie Dentistry Llc 13200 Se Mcgillivray Blvd Vancouver WA 98683-7040 Ph: (360) 892-6132 |
| NPI Number | 1124620158 |
|---|---|
| Provider Enumeration Date | 11/13/2020 |
| Last Update Date | 11/13/2020 |
| Medicare PECOS PAC ID | 2860894250 |
|---|---|
| Medicare Enrollment ID | O20210707003354 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124620158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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