| G.l. Winchell D.d.s., P.s. | |
|
843 12th Ave Suite A Longview WA 98632-2457 | |
| (360) 577-8880 | |
| (360) 575-9120 |
| Full Name | G.l. Winchell D.d.s., P.s. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 843 12th Ave, Longview, Washington |
| Authorized Official Name and Position | Gerald Lynn Winchell (PRESIDENT) |
| Authorized Official Contact | 3605778880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| G.l. Winchell D.d.s., P.s. 843 12th Ave Suite A Longview WA 98632-2457 Ph: (360) 577-8880 | G.l. Winchell D.d.s., P.s. 843 12th Ave Suite A Longview WA 98632-2457 Ph: (360) 577-8880 |
| NPI Number | 1427171818 |
|---|---|
| Provider Enumeration Date | 04/09/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427171818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DE00004996 (Washington) | Primary |
Matthew E Lesh Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 950 14th Ave, Longview, WA 98632 Phone: 360-200-4924 | |
Dr Azizi Pllc Dental Clinic Medicare: Medicare Enrolled Practice Location: 1538 11th Ave, Longview, WA 98632 Phone: 323-804-1324 |