| Kamilche Dental Center | |
|
3100 Se Old Olympic Hwy Shelton WA 98584-7731 | |
| (360) 427-1784 | |
| (360) 427-1818 |
| Full Name | Kamilche Dental Center |
|---|---|
| Speciality | Dentist |
| Location | 3100 Se Old Olympic Hwy, Shelton, Washington |
| Authorized Official Name and Position | Steven R Peters (OWNER) |
| Authorized Official Contact | 3604271784 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kamilche Dental Center 3100 Se Old Olympic Hwy Shelton WA 98584-7731 Ph: (360) 427-1784 | Kamilche Dental Center 3100 Se Old Olympic Hwy Shelton WA 98584-7731 Ph: (360) 427-1784 |
| NPI Number | 1043379480 |
|---|---|
| Provider Enumeration Date | 12/08/2006 |
| Last Update Date | 08/07/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043379480 | NPI | - | NPPES |
| 5040365 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DE00008865 (Washington) | Primary |
| 122400000X | Denturist | DN0000036 (Washington) | Secondary |
| 122400000X | Denturist | DN00000236 (Washington) | Secondary |
Squaxin Island Tribe Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 90 Se Klah Che Min Dr, Shelton, WA 98584 Phone: 360-427-9006 | |
William J Busacca Dds, Ps Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1525 Olympic Hwy N, Shelton, WA 98584 Phone: 360-426-9711 Fax: 360-426-6361 | |
Shelton Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1829 Jefferson St, Shelton, WA 98584 Phone: 360-426-8401 Fax: 360-426-1427 | |
Bowers Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1525 Olympic Hwy N, Shelton, WA 98584 Phone: 360-426-9711 Fax: 360-426-6361 | |
Shelton Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1829 Jefferson St, Shelton, WA 98584 Phone: 360-426-8401 Fax: 360-426-1427 | |
Squaxin Island Tribe Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 90 Se Klah Che Min Dr, Shelton, WA 98584 Phone: 360-427-9006 |