Jack R. Ashlock, Dds Ps | |
6821 N Country Homes Blvd Ste 202 Spokane WA 99208-4372 | |
(509) 327-8681 | |
(509) 327-8562 |
Full Name | Jack R. Ashlock, Dds Ps |
---|---|
Speciality | Dentist - General Practice |
Location | 6821 N Country Homes Blvd, Spokane, Washington |
Authorized Official Name and Position | Jack R Ashlock (DENTIST) |
Authorized Official Contact | 5093278681 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jack R. Ashlock, Dds Ps 12105 N Riverwood Dr Spokane WA 99218-3500 Ph: (509) 468-2068 | Jack R. Ashlock, Dds Ps 6821 N Country Homes Blvd Ste 202 Spokane WA 99208-4372 Ph: (509) 327-8681 |
NPI Number | 1548309925 |
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Provider Enumeration Date | 02/05/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548309925 | NPI | - | NPPES |
591231 | Other | WA | UNITED CONCORDIA PROVIDER |
5397203 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 025103DE00004470 (Washington) | Primary |
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