| Ryan Bushman Dmd & Chase Davis Dds Pllc | |
|
123 N Brower St Medical Lake WA 99022-5109 | |
| (509) 299-5171 | |
| Not Available |
| Full Name | Ryan Bushman Dmd & Chase Davis Dds Pllc |
|---|---|
| Speciality | Dentist |
| Location | 123 N Brower St, Medical Lake, Washington |
| Authorized Official Name and Position | Ashlie Riverson (BILLING CREDENTIALING MANAGER) |
| Authorized Official Contact | 5099240381 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Bushman Dmd & Chase Davis Dds Pllc 1222 N Pines Rd Ste 101 Spokane Valley WA 99206-4939 Ph: (509) 924-0381 | Ryan Bushman Dmd & Chase Davis Dds Pllc 123 N Brower St Medical Lake WA 99022-5109 Ph: (509) 299-5171 |
| NPI Number | 1679213375 |
|---|---|
| Provider Enumeration Date | 03/30/2022 |
| Last Update Date | 04/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679213375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Best Inpression Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 47 E. Wa 902, Medical Lake, WA 99022 Phone: 231-330-3150 | |
Medical Lake Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: N 123 Brower, Medical Lake, WA 99022 Phone: 509-299-5171 Fax: 509-299-5151 |