<unavail> in Tacoma, WA - Clinic/Center

is a dental clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Tacoma, Washington. The current practice location for is 1112 S Cushman Ave, Tacoma, Washington. For appointments, you can reach them via phone at (253) 280-9770. The mailing address for is Po Box 34703, Seattle, Washington and phone number is () -.

is licensed to practice in Washington (license number 6005372781) and its NPI number is 1144378886. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (253) 280-9770.

Contact Information


	1112 S Cushman Ave Tacoma WA 98405-3631
	(253) 280-9770
	(253) 246-6822

Map and Direction

Dental Care Clinic Profile

Full Name
Speciality	Clinic/center - Federally Qualified Health Center (fqhc)
Location	1112 S Cushman Ave, Tacoma, Washington
Authorized Official Name and Position	Mary Bartolo (DEPUTY DIRECTOR)
Authorized Official Contact	2067883224
Accepts Medicare Insurance	This clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Po Box 34703 Seattle WA 98124-1703 Ph: () -	1112 S Cushman Ave Tacoma WA 98405-3631 Ph: (253) 280-9770

NPI Details:

NPI Number	1144378886
Provider Enumeration Date	01/08/2007
Last Update Date	01/31/2025

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144378886	NPI	-	NPPES
1003524	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	(* (Not Available))	Secondary
1223G0001X	Dentist - General Practice	(* (Not Available))	Secondary
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	6005372781 (Washington)	Primary
261QM1300X	Clinic/center - Multi-specialty	(* (Not Available))	Secondary

Reviews and Comments

Dental Clinics in Tacoma, WA

Olympic Dental & Denture Center, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3720 6th Ave, Suite A, Tacoma, WA 98406 Phone: 253-752-1320 Fax: 253-752-1425
Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2702 S 42nd St Ste 106, Tacoma, WA 98409 Phone: 253-472-7788 Fax: 253-474-9253
Bansuk Ju Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2302 S Union Ave Ste A6, Tacoma, WA 98405 Phone: 253-752-4422
Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4125 49th Ave Ne Ste D, Tacoma, WA 98422 Phone: 253-952-2200
Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3811 E Arlington Dr Rm 117, Tacoma, WA 98404 Phone: 253-597-4550
Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1628 S Mildred St, Suite 206, Tacoma, WA 98465 Phone: 253-460-1800 Fax: 253-460-0697
Dental Clinic Medicare: Medicare Enrolled Practice Location: 2209 E 32nd St, Tacoma, WA 98404 Phone: 253-593-0232 Fax: 253-382-2091

- Dental Clinic in Tacoma, WA