| Lewis Clark Oral Surgery | |
|
1119 Highland Ave Number 6 Clarkston WA 99403-2836 | |
| (509) 751-1110 | |
| Not Available |
| Full Name | Lewis Clark Oral Surgery |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1119 Highland Ave, Clarkston, Washington |
| Authorized Official Name and Position | John Wallace Morrison (OWNER) |
| Authorized Official Contact | 5097511110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lewis Clark Oral Surgery 1119 Highland Ave Number 6 Clarkston WA 99403-2836 Ph: (509) 751-1110 | Lewis Clark Oral Surgery 1119 Highland Ave Number 6 Clarkston WA 99403-2836 Ph: (509) 751-1110 |
| NPI Number | 1588992721 |
|---|---|
| Provider Enumeration Date | 11/30/2009 |
| Last Update Date | 11/30/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588992721 | NPI | - | NPPES |
| 1164567913 | Other | ID | NPI - PERSONAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DE 00011204 (Washington) | Primary |
Lewis And Clark Dental Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 844 6th St, Clarkston, WA 99403 Phone: 509-444-8888 Fax: 509-444-7806 | |
Clearwater Endodontics, P.l.l.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 802 7th St, Clarkston, WA 99403 Phone: 509-758-4181 Fax: 509-758-4756 | |
Meyers-folsom Dental Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1336 5th St, Clarkston, WA 99403 Phone: 509-758-5011 Fax: 509-751-9125 | |
Lewiston-clarkston Oral & Max. Surg. Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1119 Highland Ave, Suite 6, Clarkston, WA 99403 Phone: 509-751-1110 Fax: 509-751-1114 | |
Clearwater Endodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 802 7th St, Clarkston, WA 99403 Phone: 509-758-4181 Fax: 509-758-4756 |