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9101 Bridgeport Way Sw Bldg B2 Lakewood WA 98499-2419 | |
| (253) 584-0858 | |
| (253) 584-1446 |
| Full Name | |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 9101 Bridgeport Way Sw, Lakewood, Washington |
| Authorized Official Name and Position | David A Cotant (OWNER PRESIDENT) |
| Authorized Official Contact | 2535840858 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
9101 Bridgeport Way Sw Bldg B2 Lakewood WA 98499-2419 Ph: (253) 584-0858 | 9101 Bridgeport Way Sw Bldg B2 Lakewood WA 98499-2419 Ph: (253) 584-0858 |
| NPI Number | 1609900638 |
|---|---|
| Provider Enumeration Date | 03/14/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609900638 | NPI | - | NPPES |
| 5355307 | Medicaid | WA | |
| CO5448 | Other | WA | REGENCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DE00003794 (Washington) | Primary |
Brian Kerr Dmd Ps Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8520 Steilacoom Blvd Sw, Suite 202, Lakewood, WA 98498 Phone: 253-584-6200 Fax: 253-984-6424 | |
Oral Surgery Northwest Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7424 Bridgeport Way W, Suite 311, Lakewood, WA 98499 Phone: 253-588-1701 Fax: 253-588-8832 | |
Christopher J Bates, Dmd, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10828 Gravelly Lake Dr Sw, Suite 111, Lakewood, WA 98499 Phone: 253-584-3121 Fax: 253-582-2484 | |
Dr. Nancy K. Rothbauer Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12502 Vernon Ave Sw, Lakewood, WA 98498 Phone: 253-582-9010 Fax: 253-582-1233 |