| Sequim Family Dentistry | |
|
321 N Sequim Ave # B Sequim WA 98382-3457 | |
| (360) 681-8884 | |
| Not Available |
| Full Name | Sequim Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 321 N Sequim Ave # B, Sequim, Washington |
| Authorized Official Name and Position | Heidi Johnson (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 3606818884 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sequim Family Dentistry Po Box 3430 Sequim WA 98382-5028 Ph: (360) 681-8884 | Sequim Family Dentistry 321 N Sequim Ave # B Sequim WA 98382-3457 Ph: (360) 681-8884 |
| NPI Number | 1538613112 |
|---|---|
| Provider Enumeration Date | 08/11/2016 |
| Last Update Date | 08/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538613112 | NPI | - | NPPES |
| 1144212804 | Other | WA | INDIVIDUAL NPI |
| 1952398661 | Other | WA | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5445 (Washington) | Primary |
| 122300000X | Dentist | 10482 (Washington) | Secondary |
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