| Shelton Dental Center | |
|
1829 Jefferson St Shelton WA 98584-2004 | |
| (360) 426-8401 | |
| (360) 426-1427 |
| Full Name | Shelton Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1829 Jefferson St, Shelton, Washington |
| Authorized Official Name and Position | Katherine J. Ketcher (MEMBER) |
| Authorized Official Contact | 3604268401 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shelton Dental Center 1829 Jefferson St Shelton WA 98584-2004 Ph: (360) 426-8401 | Shelton Dental Center 1829 Jefferson St Shelton WA 98584-2004 Ph: (360) 426-8401 |
| NPI Number | 1063553014 |
|---|---|
| Provider Enumeration Date | 02/11/2007 |
| Last Update Date | 04/11/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063553014 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE9709 (Washington) | Primary |
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William J Busacca Dds, Ps Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1525 Olympic Hwy N, Shelton, WA 98584 Phone: 360-426-9711 Fax: 360-426-6361 | |
Bowers Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1525 Olympic Hwy N, Shelton, WA 98584 Phone: 360-426-9711 Fax: 360-426-6361 | |
Shelton Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1829 Jefferson St, Shelton, WA 98584 Phone: 360-426-8401 Fax: 360-426-1427 | |
Squaxin Island Tribe Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 90 Se Klah Che Min Dr, Shelton, WA 98584 Phone: 360-427-9006 |