| Squaxin Island Tribe | |
|
90 Se Klah Che Min Dr Shelton WA 98584-9216 | |
| (360) 427-9006 | |
| Not Available |
| Full Name | Squaxin Island Tribe |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 90 Se Klah Che Min Dr, Shelton, Washington |
| Authorized Official Name and Position | Whitney Jones (DIRECTOR) |
| Authorized Official Contact | 3604279006 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Squaxin Island Tribe 90 Se Klah Che Min Dr Shelton WA 98584-9216 Ph: (360) 427-9006 | Squaxin Island Tribe 90 Se Klah Che Min Dr Shelton WA 98584-9216 Ph: (360) 427-9006 |
| NPI Number | 1003021338 |
|---|---|
| Provider Enumeration Date | 05/11/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003021338 | NPI | - | NPPES |
| 5400122 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (Washington) | Primary |
Kamilche Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3100 Se Old Olympic Hwy, Shelton, WA 98584 Phone: 360-427-1784 Fax: 360-427-1818 | |
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 | |
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 | |
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 |