| Jonathan R Shaw Dds Ps | |
|
214 West Birch Colville WA 99114 | |
| (509) 684-6138 | |
| (509) 684-0884 |
| Full Name | Jonathan R Shaw Dds Ps |
|---|---|
| Speciality | Dentist |
| Location | 214 West Birch, Colville, Washington |
| Authorized Official Name and Position | Jonathan R Shaw (PRESIDENT OF CORP) |
| Authorized Official Contact | 5096846138 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan R Shaw Dds Ps 214 West Birch Colville WA 99114 Ph: (509) 684-6138 | Jonathan R Shaw Dds Ps 214 West Birch Colville WA 99114 Ph: (509) 684-6138 |
| NPI Number | 1982711818 |
|---|---|
| Provider Enumeration Date | 08/24/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982711818 | NPI | - | NPPES |
| 5503107 | Medicaid | WA | |
| 784537 | Other | WA | UNITED CONCORDIA INS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4798 (Washington) | Primary |
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Banich & Banich Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 775 S Main St, Suite C, Colville, WA 99114 Phone: 509-684-4586 Fax: 506-685-1043 | |
Quality Sleep Northwest Llc Dental Clinic Medicare: Medicare Enrolled Practice Location: 181 E 1st Ave, Colville, WA 99114 Phone: 509-438-8840 | |
Healthy Expressions Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 181 E 1st Ave, Colville, WA 99114 Phone: 509-684-3736 Fax: 509-684-3407 | |
New Health Colville Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 161 E 3rd Ave, Colville, WA 99114 Phone: 509-684-1440 Fax: 509-684-1277 | |
Hardwick Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 154 E 1st Ave, Colville, WA 99114 Phone: 509-684-3592 Fax: 509-685-9118 | |
Steven G. Banich Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 775 S Main St, Ste C, Colville, WA 99114 Phone: 509-684-4586 Fax: 509-685-1043 |