| Shawn R Mcdevitt Dds Ps | |
|
307 S 11th Ave Yakima WA 98902-3256 | |
| (509) 453-5568 | |
| (509) 453-5698 |
| Full Name | Shawn R Mcdevitt Dds Ps |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 307 S 11th Ave, Yakima, Washington |
| Authorized Official Name and Position | Shawn R Mcdevitt (PRESIDENT) |
| Authorized Official Contact | 5094535568 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shawn R Mcdevitt Dds Ps 307 S 11th Ave Yakima WA 98902-3256 Ph: (509) 453-5568 | Shawn R Mcdevitt Dds Ps 307 S 11th Ave Yakima WA 98902-3256 Ph: (509) 453-5568 |
| NPI Number | 1023113990 |
|---|---|
| Provider Enumeration Date | 09/14/2006 |
| Last Update Date | 08/12/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023113990 | NPI | - | NPPES |
| 5023676 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 00007747 (Washington) | Primary |
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