| Southridge Dental | |
|
3911 W 27th Ave Ste 105 Kennewick WA 99337-2483 | |
| (509) 581-0081 | |
| Not Available |
| Full Name | Southridge Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3911 W 27th Ave Ste 105, Kennewick, Washington |
| Authorized Official Name and Position | Eric Winterton (DENTIST) |
| Authorized Official Contact | 5095810081 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southridge Dental 3911 W 27th Ave Ste 105 Kennewick WA 99337-2483 Ph: (509) 581-0081 | Southridge Dental 3911 W 27th Ave Ste 105 Kennewick WA 99337-2483 Ph: (509) 581-0081 |
| NPI Number | 1215326202 |
|---|---|
| Provider Enumeration Date | 01/14/2015 |
| Last Update Date | 01/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215326202 | NPI | - | NPPES |
| 2038359 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DE60232632 (Washington) | Primary |
Ideal Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1408 N Louisiana St Ste 101, Kennewick, WA 99336 Phone: 509-737-8700 | |
Clearwater Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5000 W Clearwater Ave, Kennewick, WA 99336 Phone: 509-783-5000 | |
Avenue Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7521 W Deschutes Ave, Kennewick, WA 99336 Phone: 509-735-9999 Fax: 509-735-9998 | |
Tri-cities Community Health Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3180 W Clearwater Ave, Suite A, Kennewick, WA 99336 Phone: 509-547-2204 | |
Dentistry For Kids Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2611 S Quillan Pl Ste 110, Kennewick, WA 99338 Phone: 509-865-6175 | |
Dr Mileski Dds Iii Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6607 W Canal Dr Ste B, Kennewick, WA 99336 Phone: 509-783-7070 | |
Columbia Basin Pediatric Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7501 W Deschutes Pl, Kennewick, WA 99336 Phone: 509-865-6175 |