| Poulsbo Children's Dentistry | |
|
19365 7th Ave Ne Suite D 108 Poulsbo WA 98370-7441 | |
| (360) 779-7115 | |
| (360) 779-3990 |
| Full Name | Poulsbo Children's Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 19365 7th Ave Ne, Poulsbo, Washington |
| Authorized Official Name and Position | Mckinley T Self (MANAGER) |
| Authorized Official Contact | 3604640779 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Poulsbo Children's Dentistry 19365 7th Ave Ne Suite D 108 Poulsbo WA 98370-7441 Ph: (360) 779-7115 | Poulsbo Children's Dentistry 19365 7th Ave Ne Suite D 108 Poulsbo WA 98370-7441 Ph: (360) 779-7115 |
| NPI Number | 1780003723 |
|---|---|
| Provider Enumeration Date | 04/07/2014 |
| Last Update Date | 04/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780003723 | NPI | - | NPPES |
| 5003603 | Medicaid | WA | |
| 1008098 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DE10256 (Washington) | Primary |
Wesley L Hanson, Dds, Msd, Ps Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1040 Ne Hostmark St, Suite 100a, Poulsbo, WA 98370 Phone: 360-779-4556 | |
Viking Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 18520 State Highway 305 Ne, Poulsbo, WA 98370 Phone: 360-598-5510 Fax: 360-598-5515 | |
Scott Welling Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 18825 Caldart Ave Ne Ste B, Poulsbo, WA 98370 Phone: 614-623-3889 | |
Peninsula Prosthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 19365 7th Ave Ne Ste 114, Poulsbo, WA 98370 Phone: 360-779-7414 Fax: 360-779-7732 | |
Ng Russell Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 20307 Viking Ave Nw Ste 201, Poulsbo, WA 98370 Phone: 360-779-9770 | |
Kitsap Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 20730 Bond Rd Ne Ste 100, Poulsbo, WA 98370 Phone: 360-779-2420 Fax: 360-779-6219 | |
Fernwood Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 19500 10th Ave Ne Ste 210, Poulsbo, WA 98370 Phone: 360-394-4337 |