|
| |
|
7116 Stinson Ave Ste B315 Gig Harbor WA 98335-1100 | |
| (253) 858-3457 | |
| (253) 853-4265 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7116 Stinson Ave Ste B315, Gig Harbor, Washington |
| Authorized Official Name and Position | Conway Littleton Upshur (DENTIST) |
| Authorized Official Contact | 2538583457 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
7116 Stinson Ave Ste B315 Gig Harbor WA 98335-1100 Ph: (253) 858-3457 | 7116 Stinson Ave Ste B315 Gig Harbor WA 98335-1100 Ph: (253) 858-3457 |
| NPI Number | 1467577551 |
|---|---|
| Provider Enumeration Date | 03/20/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467577551 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE00009365 (Washington) | Primary |
Melissa J. Spaulding, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6659 Kimball Dr, Suite D401, Gig Harbor, WA 98335 Phone: 253-858-9169 | |
Peninsula Community Health Services Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11901 137th Ave Nw Unit A, Gig Harbor, WA 98329 Phone: 360-377-3776 Fax: 360-373-2096 | |
Lisa A Block, Dmd, Ms, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3519 56th St Nw, Suite 140, Gig Harbor, WA 98335 Phone: 253-858-8581 Fax: 253-858-2189 | |
Chad Smart Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3519 56th St Ste 140, Gig Harbor, WA 98335 Phone: 253-588-8581 | |
Debra M. Enneking Dds, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6504 Wollochet Drive N.w., Gig Harbor, WA 98335 Phone: 253-858-5869 Fax: 253-858-5849 | |