| Olympic Dental Center, Llc | |
|
4408 Pacific Ave Se Lacey WA 98503-1119 | |
| (360) 438-8299 | |
| (360) 438-1399 |
| Full Name | Olympic Dental Center, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4408 Pacific Ave Se, Lacey, Washington |
| Authorized Official Name and Position | John Anderson (DENTURIST) |
| Authorized Official Contact | 3604388299 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Olympic Dental Center, Llc 4408 Pacific Ave Se Lacey WA 98503-1119 Ph: (360) 438-8299 | Olympic Dental Center, Llc 4408 Pacific Ave Se Lacey WA 98503-1119 Ph: (360) 438-8299 |
| NPI Number | 1780733204 |
|---|---|
| Provider Enumeration Date | 01/10/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780733204 | NPI | - | NPPES |
| 5040258 | Medicaid | WA | |
| 1412978 | Other | WA | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Brian K Rounds Dds, Ps Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1407 College St Se, Lacey, WA 98503 Phone: 360-491-5880 Fax: 360-491-6820 | |
Family Dentistry On Lacey Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4445 Lacey Blvd Se, Lacey, WA 98503 Phone: 360-491-2532 | |
Hawks Prairie Pediatric Dentistry/ West Olympia Kids Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8685 Martin Way E Ste 101, Lacey, WA 98516 Phone: 360-489-1406 Fax: 360-491-1270 | |
Herbert Todd Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4445 Lacey Blvd Se, Lacey, WA 98503 Phone: 360-491-2532 Fax: 360-923-9565 | |
Nisqually Reach Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2521 Marvin Rd Ne Ste G, Lacey, WA 98516 Phone: 360-458-5606 | |
Ruddell Road Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1607 Ruddell Rd Se, Lacey, WA 98503 Phone: 360-459-1600 | |
Sea Mar Community Health Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 669 Woodland Square Loop Se, Lacey, WA 98503 Phone: 360-359-4840 Fax: 360-359-4850 |