| Hackney Family Dentistry | |
|
1051 Se State Route 3 Shelton WA 98584-7117 | |
| (360) 426-1676 | |
| (360) 427-4303 |
| Full Name | Hackney Family Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1051 Se State Route 3, Shelton, Washington |
| Authorized Official Name and Position | Kyle Houston Hackney (PARTNER/DENTIST) |
| Authorized Official Contact | 3604261676 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hackney Family Dentistry Po Box 398 Shelton WA 98584-0398 Ph: (360) 426-1676 | Hackney Family Dentistry 1051 Se State Route 3 Shelton WA 98584-7117 Ph: (360) 426-1676 |
| NPI Number | 1891934550 |
|---|---|
| Provider Enumeration Date | 02/19/2009 |
| Last Update Date | 02/19/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891934550 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DE60035243 (Washington) | Primary |
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