| Stephen B Gillespie Dds Llc | |
|
13200 Se Mcgillivray Blvd Vancouver WA 98683-7040 | |
| (360) 892-6132 | |
| Not Available |
| Full Name | Stephen B Gillespie Dds Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 13200 Se Mcgillivray Blvd, Vancouver, Washington |
| Authorized Official Name and Position | Stephen Gillespie (SOLE MEMBER) |
| Authorized Official Contact | 3608926132 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen B Gillespie Dds Llc Po Box 25528 Tempe AZ 85285-5528 Ph: (480) 444-0607 | Stephen B Gillespie Dds Llc 13200 Se Mcgillivray Blvd Vancouver WA 98683-7040 Ph: (360) 892-6132 |
| NPI Number | 1215255518 |
|---|---|
| Provider Enumeration Date | 05/11/2010 |
| Last Update Date | 02/13/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215255518 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE 00005353 (Washington) | Primary |
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