| Newport Dental | |
|
610 West Second St. Box 849 Newport WA 99156 | |
| (509) 447-3105 | |
| (509) 447-5661 |
| Full Name | Newport Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 610 West Second St., Newport, Washington |
| Authorized Official Name and Position | James Gary Cool (DENTIST) |
| Authorized Official Contact | 5094473105 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Newport Dental 610 West Second St Newport WA 99156 Ph: (509) 447-3105 | Newport Dental 610 West Second St. Box 849 Newport WA 99156 Ph: (509) 447-3105 |
| NPI Number | 1720535297 |
|---|---|
| Provider Enumeration Date | 09/01/2016 |
| Last Update Date | 09/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720535297 | NPI | - | NPPES |
| 1376625442 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 5239 (Washington) | Primary |
Ivory Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 424 N. Warren Ave., Newport, WA 99156 Phone: 509-447-5960 | |
New Health Newport Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 435 W Walnut St, Newport, WA 99156 Phone: 509-447-0888 | |
Wayne Lemley Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 424 N Warren Ave, Newport, WA 99156 Phone: 509-447-5960 Fax: 509-447-3350 |