| Pchs Dental 6th | |
|
616 6th St Bremerton WA 98337-1420 | |
| (360) 377-3776 | |
| (360) 479-0038 |
| Full Name | Pchs Dental 6th |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 616 6th St, Bremerton, Washington |
| Authorized Official Name and Position | Jennifer Kreidler-moss (CEO) |
| Authorized Official Contact | 3603773776 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pchs Dental 6th Po Box 960 Bremerton WA 98337-0212 Ph: (360) 377-3776 | Pchs Dental 6th 616 6th St Bremerton WA 98337-1420 Ph: (360) 377-3776 |
| NPI Number | 1740630128 |
|---|---|
| Provider Enumeration Date | 06/16/2016 |
| Last Update Date | 04/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740630128 | NPI | - | NPPES |
| NPI | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Secondary |
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