| Impressions Dentistry | |
|
4538 Martin Way E Ste 103 Olympia WA 98516-5387 | |
| (360) 493-1866 | |
| Not Available |
| Full Name | Impressions Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 4538 Martin Way E Ste 103, Olympia, Washington |
| Authorized Official Name and Position | Suneet S Bath (OWNER) |
| Authorized Official Contact | 3604931866 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Impressions Dentistry 4538 Martin Way E Ste 103 Olympia WA 98516-5387 Ph: (360) 493-1866 | Impressions Dentistry 4538 Martin Way E Ste 103 Olympia WA 98516-5387 Ph: (360) 493-1866 |
| NPI Number | 1346796141 |
|---|---|
| Provider Enumeration Date | 08/31/2016 |
| Last Update Date | 06/11/2020 |
| Medicare PECOS PAC ID | 0446678262 |
|---|---|
| Medicare Enrollment ID | O20200910002602 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346796141 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 9299 (Washington) | Primary |
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